Comparison of the analgesic efficacy of two different fascial blocks in patients undergoing laparoscopic inguinal hernia surgery: A randomized control trial
Background and Aims: Moderate-to-severe intensity pain is reported on the first day following lower abdominal surgery. No study has compared transversus abdominis plane (TAP) block with retrolaminar block (RLB) in laparoscopic inguinal hernia surgery for postoperative pain relief. Material and Metho...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-04-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
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| Online Access: | https://journals.lww.com/10.4103/joacp.joacp_424_22 |
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| author | Vanita Ahuja Aastika Mahajan Deepak Thapa Sukanya Mitra Deepika Gupta Sanjay Gupta Rajeev Sharma Simrandeep Singh |
| author_facet | Vanita Ahuja Aastika Mahajan Deepak Thapa Sukanya Mitra Deepika Gupta Sanjay Gupta Rajeev Sharma Simrandeep Singh |
| author_sort | Vanita Ahuja |
| collection | DOAJ |
| description | Background and Aims:
Moderate-to-severe intensity pain is reported on the first day following lower abdominal surgery. No study has compared transversus abdominis plane (TAP) block with retrolaminar block (RLB) in laparoscopic inguinal hernia surgery for postoperative pain relief.
Material and Methods:
In this prospective, randomized trial, 42 male patients of American Society of Anesthesiologists (ASA) physical status I and II, aged 18–65 years, and having a BMI <40 kg/m2 received TAP or RLB following laparoscopic inguinal hernia surgery. A standard general anesthetic technique was performed. Patients were randomized into two groups: single-shot TAP block (group I) (n = 21) or the RLB (group II) (n = 21) with bilateral 20 ml of 0.375% ropivacaine. Postoperatively, IV paracetamol 1 g was administered as rescue analgesia. Postoperative cumulative Visual Analogue Scale (VAS) score 24 hours after surgery was considered as the primary outcome.
Results:
Postoperative cumulative VAS score at rest at 24 h, represented as mean ± S.D (95% CI), in the TAP block group was 3.54 ± 3.04 (2.16–4.93) and in the RLB group was 6.09 ± 4.83 (3.89–8.29). P value was 0.112 and VAS on movement was 7.95 ± 3.41 (6.39–9.50 [2.5–15.0]) in TAP block group, whereas P value was 0.110 and VAS on movement was 10.83 ± 5.51 (8.32–13.34) in the RLB group.
Conclusion:
Similar postoperative cumulative pain score on movement at 24 h was present in patients receiving TAP block or RLB. However, VAS score at rest and on movement was reduced in patients receiving TAP block at 18 and 24 h postoperatively. |
| format | Article |
| id | doaj-art-abccdae5dd69472b8557b949333f8d72 |
| institution | OA Journals |
| issn | 2231-2730 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj-art-abccdae5dd69472b8557b949333f8d722025-08-20T02:36:49ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology2231-27302024-04-0140222823410.4103/joacp.joacp_424_22Comparison of the analgesic efficacy of two different fascial blocks in patients undergoing laparoscopic inguinal hernia surgery: A randomized control trialVanita AhujaAastika MahajanDeepak ThapaSukanya MitraDeepika GuptaSanjay GuptaRajeev SharmaSimrandeep SinghBackground and Aims: Moderate-to-severe intensity pain is reported on the first day following lower abdominal surgery. No study has compared transversus abdominis plane (TAP) block with retrolaminar block (RLB) in laparoscopic inguinal hernia surgery for postoperative pain relief. Material and Methods: In this prospective, randomized trial, 42 male patients of American Society of Anesthesiologists (ASA) physical status I and II, aged 18–65 years, and having a BMI <40 kg/m2 received TAP or RLB following laparoscopic inguinal hernia surgery. A standard general anesthetic technique was performed. Patients were randomized into two groups: single-shot TAP block (group I) (n = 21) or the RLB (group II) (n = 21) with bilateral 20 ml of 0.375% ropivacaine. Postoperatively, IV paracetamol 1 g was administered as rescue analgesia. Postoperative cumulative Visual Analogue Scale (VAS) score 24 hours after surgery was considered as the primary outcome. Results: Postoperative cumulative VAS score at rest at 24 h, represented as mean ± S.D (95% CI), in the TAP block group was 3.54 ± 3.04 (2.16–4.93) and in the RLB group was 6.09 ± 4.83 (3.89–8.29). P value was 0.112 and VAS on movement was 7.95 ± 3.41 (6.39–9.50 [2.5–15.0]) in TAP block group, whereas P value was 0.110 and VAS on movement was 10.83 ± 5.51 (8.32–13.34) in the RLB group. Conclusion: Similar postoperative cumulative pain score on movement at 24 h was present in patients receiving TAP block or RLB. However, VAS score at rest and on movement was reduced in patients receiving TAP block at 18 and 24 h postoperatively.https://journals.lww.com/10.4103/joacp.joacp_424_22analgesiaherniainguinalnerve blockspain intensityropivacainetransversus abdominisultrasonographyvisual analogue pain scale |
| spellingShingle | Vanita Ahuja Aastika Mahajan Deepak Thapa Sukanya Mitra Deepika Gupta Sanjay Gupta Rajeev Sharma Simrandeep Singh Comparison of the analgesic efficacy of two different fascial blocks in patients undergoing laparoscopic inguinal hernia surgery: A randomized control trial Journal of Anaesthesiology Clinical Pharmacology analgesia hernia inguinal nerve blocks pain intensity ropivacaine transversus abdominis ultrasonography visual analogue pain scale |
| title | Comparison of the analgesic efficacy of two different fascial blocks in patients undergoing laparoscopic inguinal hernia surgery: A randomized control trial |
| title_full | Comparison of the analgesic efficacy of two different fascial blocks in patients undergoing laparoscopic inguinal hernia surgery: A randomized control trial |
| title_fullStr | Comparison of the analgesic efficacy of two different fascial blocks in patients undergoing laparoscopic inguinal hernia surgery: A randomized control trial |
| title_full_unstemmed | Comparison of the analgesic efficacy of two different fascial blocks in patients undergoing laparoscopic inguinal hernia surgery: A randomized control trial |
| title_short | Comparison of the analgesic efficacy of two different fascial blocks in patients undergoing laparoscopic inguinal hernia surgery: A randomized control trial |
| title_sort | comparison of the analgesic efficacy of two different fascial blocks in patients undergoing laparoscopic inguinal hernia surgery a randomized control trial |
| topic | analgesia hernia inguinal nerve blocks pain intensity ropivacaine transversus abdominis ultrasonography visual analogue pain scale |
| url | https://journals.lww.com/10.4103/joacp.joacp_424_22 |
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