Ultrasound-guided transversalis fascia plane block versus anterior transversus abdominis plane block in outpatient inguinal hernia repair

Autor: L. Padín Barreiro, I. Areán González, G. Illodo Miramontes, S. López-Álvarez, J.M. López-González, B.M. Jiménez Gómez
Rok vydání: 2016
Předmět:
Zdroj: Revista Española de Anestesiología y Reanimación (English Edition). 63:498-504
ISSN: 2341-1929
Popis: Introduction The aim of the study was to assess the effectiveness of ultrasound-guided transversalis fascia plane block (TFP) compared to anterior transversus abdominis plane block (TAP-A) for post-operative analgesia in outpatient unilateral inguinal hernia repair. Materials and methods Retrospective observational study conducted on ASA I-II patients. Two groups (TAP-A and TFP), which were given 30 ml of 0.25% levobupivacaine prior to surgical incision. The primary endpoint was the post-operative pain evaluated by verbal numerical scale (VRN at rest and movement) at 10, 30, 60, 90 min, coinciding with ambulation, and 24 h by telephone. An evaluation was also made of the sensory block level reached prior to surgery, the need for additional analgesia, side effects, ease of performing the technique, and the level of satisfaction of patients with the anaesthetic–analgesic technique. Results A total of 61 patients were included, 30 patients in the TAP-A group and 31 in the TFP group. The analgesic efficacy obtained in both groups was similar, although some higher values were found in the VNR on moving in the TAP-A group, reaching statistical difference at 10 min (p = 0.014) and 30 min (p = 0.013) post-operatively. A higher level of sensory block was achieved in the TFP group than in the TAP-A group (p Conclusions Both blocks with a multimodal approach achieve good post-operative analgesia of inguinal hernia repair, are easy to perform and have few complications. TFP achieves the highest sensory level, but there are no differences in the requirements for additional analgesia.
Databáze: OpenAIRE
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