Comparative Study between Different Techniques of Abdominal Wall Blocks and Their Effect on Postoperative Pain Relief in Patients Undergoing Laparotomy Using Ultra-Sound
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- Category: Vol. 83, September 2015
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Comparative Study between Different Techniques of Abdominal Wall Blocks and Their Effect on Postoperative Pain Relief in Patients Undergoing Laparotomy Using Ultra-Sound, AMANY S. ARAFA, SAHAR M. ALSHAL, AHMED A. MOHAMED, MOHAMED A. MANSOUR and DINA A. TURKI
Abstract
Background: Pain after abdominal surgery is derived from the abdominal wall incision. Several approaches developed to provide post-operative analgesia after abdominal incision via blockage of the sensory nerve supply to the anterior abdominal wall.
Subjects and Methods: Twenty eight adult patients under-going laparotomy were randomized into two equal groups. Those in Group A received combined TAPB & TFPB and those in Group B received TAPB alone. VAS done post-operative at rest and at movement, extra analgesic requirments and complications recorded.
Conclusion: Our study demonstrates that real time ultra-sound guided combined TAP and TFP block provides additional benefit to multimodal analgesia in adults undergoing laparo-tomy. The patients who received combined TAP and TFP block required less intraoperative analgesic requirements, as well as postoperative rescue analgesia than patients who received TAP block alone.