الفهرس | Only 14 pages are availabe for public view |
Abstract Abstract Background: Transverse abdominis plane (TAP) block and combined ilioinguinal-iliohypogastric (IIN/IHN) blocks are used routinely under ultrasound (USG) guidance for postoperative pain control in patients undergoing inguinal hernia repair surgery. This study compares USG guided TAP versus IIN/IHN block for post-operative analgesic efficacy in adults undergoing inguinal hernia surgery, among 100 patients randomized into group (A) received TAP block by using Levobupivacaine 0.5% 25ml and group (B) received IIN+IHN blocks by using Levobupivacaine 0.5% 10ml before induction of general anesthesia. Results: The mean duration (in minutes) to require rescue analgesia was found to be 1003.2 ± 99.6 (mints) in group A and 1317 ± 69 (mints) in group B. On comparison of these two values the difference in mean time to rescue analgesic requirement was statistically significant (p<0.001) Conclusions: USG guided IIN/IHN block delays the need for rescue analgesia and reduces the postoperative analgesic requirement compared to USG guided TAP block. |