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Analgesic Effect of Transversus Abdominis Plane (TAP) Block in Lower Abdominal Surgeries Like Appendectomy, Hernia Repair, Turp

Rajneesh Kumar, 87D, Dilbagh Nagar, Adarsh Hospital, 120 Feet Road, Jalandhar- 144002, Punjab, India , Rajneesh Kumar* , Amit Bhardwaj** , Ankur Hastir*** , R.P.S. Walia**** , Subash Goyal****

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New Indian Journal of Surgery 8(2):p 77-81, April - June 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8217.13

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Abstract

Purpose of this study is to relive postoperative pain as effective pain management is now integral part of surgical management. Effective postoperative pain management has a humanitarian role with additional medical and economic benefits of rapid recovery.

Methods: The study included 200 patients who are to undergo appendectomy, hernia, and TURP surgery at Punjab Institute of Medical Sciences (PIMS) Jalandhar from April, 2012 to March, 2013. Procedures include Cases (Group A) n= 100 Lower abdominal surgery patients with TAP Block and Controls (Group B) = 100 Lower abdominal surgery patients without TAP block.P atient was made to lie in supine position. Just posterior midaxillary line, cephalad to iliac crest, an epidural needle of 18 gauges was introduced. “Two pops” technique was used

Results: Pain assessment was done using Visual analogue scale ( VAS) and number of pain killer ijections at 2, 4, 6, 12 & 24 hours. The block has number of advantages which include technical simplicity, high analgesic effectiveness, long duration of effect and minimal side effects 9 e.g., hypotension, motor blockade) in comparison to that associated neuroaxial analgesia. Overall, TAP block is relatively safe procedure with minimal complications.

Conclusions: TAP is a new infiltration technique aimed at reducing post-operative pain. It may be a good alternative strategy for patients who are highly sensitive to popiods. We concluded that TAP is a good analgesic regimen after lower abdominal surgeries like appendectomy, hernia and TURP.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8217.13

Keywords

Transversus Abdominus Plane (TAP); Visual Analogue Scale( VAS) ( Direct trocar insertion (DTI)Postoperative Pain. 

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