A comparative study of analgesic effect between ultrasound-guided posterior vis-a-vis lateral transversus abdominis plane block in patients undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy under spinal anesthesia
Background: Transversus abdominis plane (TAP) block is used to reduce pain after total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH+BSO). Two important approaches are ultrasound-guided lateral and posterior approaches. Ultrasound-guided blocks help in the correct localization of t...
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Manipal College of Medical Sciences, Pokhara
2025-02-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4348 |
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| author | Rajib Sikder Sankar Roy Arunava Biswas Dipasri Bhattacharya |
| author_facet | Rajib Sikder Sankar Roy Arunava Biswas Dipasri Bhattacharya |
| author_sort | Rajib Sikder |
| collection | DOAJ |
| description | Background: Transversus abdominis plane (TAP) block is used to reduce pain after total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH+BSO). Two important approaches are ultrasound-guided lateral and posterior approaches. Ultrasound-guided blocks help in the correct localization of the plane and proper deposition of drugs.
Aims and Objectives: This study was done to compare the analgesic effect of posterior TAP block and lateral TAP block in TAH+BSO.
Materials and Methods: A double-arm observational study was conducted on eighty patients (ASA 1 and 2) posted for TAH+BSO under spinal anesthesia. They were randomly divided into two equal groups, 40 each (Groups L and P). Ultrasound-guided lateral TAP block and posterior TAP block were administered bilaterally with 20 mL 0.25% bupivacaine in the L group and P group, respectively, on each side of the abdomen after skin closure at the end of the operation. The intensity of post-operative pain was evaluated by a 10 cm Visual Analog Scale (VAS) Score at 1, 3, 6, 9, 12, and 24 h. If VAS was more than 4, 1 g paracetamol infusion was given. Duration of analgesia, total rescue analgesic requirement, and hemodynamic changes by measuring mean arterial pressure and pulse rate were also observed.
Results: VAS score was significantly less in Group P than in Group L (P<0.05). The time of first rescue analgesia requirement was longer in Group P compared to Group L. Total analgesic requirement in 24 h was less in Group P compared to Group L. Hemodynamic changes were comparable in both groups.
Conclusion: Posterior TAP block provides better post-operative analgesia than lateral TAP block with stable hemodynamics in patients undergoing TAH BSO operation under spinal anesthesia. |
| format | Article |
| id | doaj-art-6c5bfd42793143c9a90a21c197b98cd3 |
| institution | Kabale University |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-6c5bfd42793143c9a90a21c197b98cd32025-02-01T06:59:09ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-02-0116237https://doi.org/10.71152/ajms.v16i2.4348A comparative study of analgesic effect between ultrasound-guided posterior vis-a-vis lateral transversus abdominis plane block in patients undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy under spinal anesthesiaRajib Sikder 0Sankar Roy 1Arunava Biswas2https://orcid.org/0000-0002-9676-3410Dipasri Bhattacharya 3Deputy Medical Superintendent, Sanctoria Hospital, ECL Head Quarter, Asansol, West Bengal, IndiaAssociate Professor, Department of Anesthesiology, Jalpaiguri Government Medical College and Hospital, Jalpaiguri, West Bengal, IndiaProfessor and Head, Department of Pharmacology, Barasat Government Medical College and Hospital, Barasat, West Bengal, India Professor and Head, Department of Anesthesiology, Santiniketan Medical College, Birbhum, West Bengal, IndiaBackground: Transversus abdominis plane (TAP) block is used to reduce pain after total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH+BSO). Two important approaches are ultrasound-guided lateral and posterior approaches. Ultrasound-guided blocks help in the correct localization of the plane and proper deposition of drugs. Aims and Objectives: This study was done to compare the analgesic effect of posterior TAP block and lateral TAP block in TAH+BSO. Materials and Methods: A double-arm observational study was conducted on eighty patients (ASA 1 and 2) posted for TAH+BSO under spinal anesthesia. They were randomly divided into two equal groups, 40 each (Groups L and P). Ultrasound-guided lateral TAP block and posterior TAP block were administered bilaterally with 20 mL 0.25% bupivacaine in the L group and P group, respectively, on each side of the abdomen after skin closure at the end of the operation. The intensity of post-operative pain was evaluated by a 10 cm Visual Analog Scale (VAS) Score at 1, 3, 6, 9, 12, and 24 h. If VAS was more than 4, 1 g paracetamol infusion was given. Duration of analgesia, total rescue analgesic requirement, and hemodynamic changes by measuring mean arterial pressure and pulse rate were also observed. Results: VAS score was significantly less in Group P than in Group L (P<0.05). The time of first rescue analgesia requirement was longer in Group P compared to Group L. Total analgesic requirement in 24 h was less in Group P compared to Group L. Hemodynamic changes were comparable in both groups. Conclusion: Posterior TAP block provides better post-operative analgesia than lateral TAP block with stable hemodynamics in patients undergoing TAH BSO operation under spinal anesthesia.https://ajmsjournal.info/index.php/AJMS/article/view/4348posterior tap block; lateral tap block; ultrasound; bupivacaine; tah bso |
| spellingShingle | Rajib Sikder Sankar Roy Arunava Biswas Dipasri Bhattacharya A comparative study of analgesic effect between ultrasound-guided posterior vis-a-vis lateral transversus abdominis plane block in patients undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy under spinal anesthesia Asian Journal of Medical Sciences posterior tap block; lateral tap block; ultrasound; bupivacaine; tah bso |
| title | A comparative study of analgesic effect between ultrasound-guided posterior vis-a-vis lateral transversus abdominis plane block in patients undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy under spinal anesthesia |
| title_full | A comparative study of analgesic effect between ultrasound-guided posterior vis-a-vis lateral transversus abdominis plane block in patients undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy under spinal anesthesia |
| title_fullStr | A comparative study of analgesic effect between ultrasound-guided posterior vis-a-vis lateral transversus abdominis plane block in patients undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy under spinal anesthesia |
| title_full_unstemmed | A comparative study of analgesic effect between ultrasound-guided posterior vis-a-vis lateral transversus abdominis plane block in patients undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy under spinal anesthesia |
| title_short | A comparative study of analgesic effect between ultrasound-guided posterior vis-a-vis lateral transversus abdominis plane block in patients undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy under spinal anesthesia |
| title_sort | comparative study of analgesic effect between ultrasound guided posterior vis a vis lateral transversus abdominis plane block in patients undergoing total abdominal hysterectomy with bilateral salpingo oophorectomy under spinal anesthesia |
| topic | posterior tap block; lateral tap block; ultrasound; bupivacaine; tah bso |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4348 |
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