Comparison of analgesic efficacy of transversus abdominis plane block with direct infiltration of local anesthetic into surgical incision in lower abdominal gynecological surgeries.

Authors

  • Faisal Niaz CMH, Kharian.
  • Mobeen Ikram CMH, Kharian.
  • Salman Iqbal Cheema Family Hospital Sambrial, Sialkot.
  • Ameer Hamza Shaheed Social Security Teaching Hospital, Lahore.
  • Maria Niaz Lady Aitchison Hospital, Lahore.
  • Usama Niaz Jinnah Hospital, Lahore.

DOI:

https://doi.org/10.29309/TPMJ/2024.31.11.8279

Keywords:

Gynecological Surgeries, Local Anesthetic Infiltration, TAP Block, Time for Analgesic Requirement

Abstract

Objective: To compare the mean time for analgesic requirement of transversus abdominis plane block with direct infiltration of local anesthetic into surgical incision in lower abdominal gynecological surgeries. Study Design: Randomized Controlled Trial. Setting: Department of Anesthesia, Combined Military Hospital, Kharian. Period: 1st July 2022 to 1st January 2023. Methods: A total of 60 patients with 30 patients in each group undergoing elective c section were included in the study. Patients were counselled about VAS scoring system before procedure. Time (in minutes) for first rescue analgesia and requirement in 24 hours was noted. Results: Mean time required for first analgesia was 143.966±8.15 minutes in group A as compare to 86.400±7.08 minutes in group B (p=0.000). Conclusion: Our study has concluded that TAP block is a promising technique in alleviating postoperative pain in patients undergoing lower abdominal gynecological surgeries.

Author Biographies

Faisal Niaz, CMH, Kharian.

MBBS, FCPS, Classified Anesthetist, 

Mobeen Ikram, CMH, Kharian.

MBBS, FCPS, MCPS, HOD and Classified Anesthetist, 

Salman Iqbal, Cheema Family Hospital Sambrial, Sialkot.

MBBS, MCPS, Registrar Anaesthesia, 

Ameer Hamza Shaheed, Social Security Teaching Hospital, Lahore.

MBBS, Medical Officer Paediatric, 

Maria Niaz, Lady Aitchison Hospital, Lahore.

MD, Registrar Obstetrics and Gynecology, 

Usama Niaz, Jinnah Hospital, Lahore.

MBBS, Medical Officers Medicine, 

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Published

2024-11-03