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A randomized controlled trial on the effectiveness of laparoscopic-guided transversus abdominis plane block in patients undergoing laparoscopic IPOM plus.
- Source :
-
Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2024 Aug; Vol. 28 (4), pp. 1257-1263. Date of Electronic Publication: 2024 Mar 23. - Publication Year :
- 2024
-
Abstract
- Introduction: Ventral hernia repairs, particularly laparoscopic ventral hernia repair (LVHR), have become common procedures among general surgeons worldwide. Despite the benefits of LVHR, acute postoperative pain remains a significant concern. Transversus abdominis plane (TAP) blocks have been employed to alleviate postoperative pain in various laparoscopic procedures. This study aimed to assess the effectiveness of laparoscopic-guided TAP block in laparoscopic IPOM plus and its impact on postoperative pain and analgesic requirements.<br />Materials and Methods: A randomized controlled trial was conducted at a tertiary care center in India involving 72 patients undergoing laparoscopic IPOM plus. Patients were randomized into two groups: Group I received laparoscopic-guided TAP block, while Group II received standard general anesthesia without TAP block. Pain scores were assessed at 6, 12, and 24 h postoperatively using the numerical rating scale. Postoperative analgesic requirements were also recorded.<br />Results: Group I demonstrated significantly lower pain scores at 6 and 24 h postoperatively compared to Group II. The need for additional analgesics was significantly lower in Group I (13.8%) compared to Group II (72.2%). There were no significant differences in age, BMI, duration of surgery, or other demographic characteristics between the two groups.<br />Conclusion: The findings of this randomized controlled trial demonstrate the effectiveness of laparoscopic-guided TAP blocks in reducing postoperative pain and analgesic requirements after laparoscopic IPOM plus.<br /> (© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
- Subjects :
- Humans
Male
Female
Middle Aged
Adult
Pain Measurement
Hernia, Ventral surgery
Anesthetics, Local administration & dosage
Laparoscopy methods
Pain, Postoperative prevention & control
Pain, Postoperative etiology
Nerve Block methods
Abdominal Muscles innervation
Herniorrhaphy methods
Herniorrhaphy adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1248-9204
- Volume :
- 28
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Hernia : the journal of hernias and abdominal wall surgery
- Publication Type :
- Academic Journal
- Accession number :
- 38520615
- Full Text :
- https://doi.org/10.1007/s10029-024-03016-w