GYNECOLOGICAL SURGERIES
EFFECTIVE POSTOPERATIVE ANALGESIA ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK
DOI:
https://doi.org/10.29309/TPMJ/2015.22.06.1241Keywords:
Ultra-sound guided transversus abdominis plane block (TAP), postoperative analgesia, Gynecologic surgery, transverse lower abdominal skin incision, visual Assessment Score(VAS)Abstract
Objectives: To evaluate the use of ultra-sound guided transversus abdominis
plane block for effective postoperative analgesia in patients undergoing gynaecological surgery
via transverse lower abdominal skin incision. Study Design: Randomized Control Trial. Period:
Six months from April 2013 to October 2013. Setting: Department of Anesthesiology, Holy
Family hospital, Rawalpindi .Sampling technique: Consecutive non-probability sampling.
Material and Methods: 200 female patients undergoing gynecological surgery via transverse
lower abdominal skin incision were enrolled in the study. They were divided into two groups;
both received ultra-sound guided transversus abdominus plane block with either bupivacaine
(Group A) or saline (Group B). SPSS version17.0 was used to analyze the data. Results:
Two hundred female patients undergoing gynecological surgeries were included. Mean age
of patients was 41 yrs (17-71yrs). There were 100 patients in each group. Both groups were
comparable with respect to baseline features. The US-TAP block significantly reduced pain
intensity as compared to standard care in the PACU at 4hrs(5.2±3.1vs.8.4±1.3,p=0.003).There
was insignificant difference between the visual assessment score of pain at 8hrs between the
two study groups(3.6±2.3vs.2.3±2.4,p=0.4). Conclusions: Ultrasound guided transversus
abdominis plane block (TAP) is an effective modality for reducing postoperative pain after
gynaecological surgery via transverse lower abdominal skin incision.
