The comparison of ultrasonography-guided transversus abdominis plane block and wound infiltration for pediatric inguinal hernia repair: Randomized clinical study
[ N/A ]
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dr Behcet Uz Cocuk Hastaliklari Ve Cerrahisi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Postoperative analgesic effect of transversus abdominis plane (TAP) block in patients undergoing abdominal surgery has been debatable. The aim of this study was to compare the analgesic effect of ultrasound guided TAP block and wound infiltration in pediatric patients undergoing inguinal herniorrhaphy. Methods: After ethical board approval, 60 children between 3 and 8 years of age undergoing unilateral inguinal hernia repair were randomized to TAP block (Group TAP, n=30) or to wound infiltration (Group infiltration, n=30). Group TAPB received ultrasound-guided TAP block with 0.25% bupivacaine 0.5 ml/kg and Group C received wound infiltration with 0.25% bupivacaine 0.5 ml/kg before surgery. Pain scores (Wong-Baker Faces), parental satisfication, block complications and additional analgesia requirements were recorded. Results: Compared with the infiltration group, the pain scores were statistically lower in the TAPB group during the first 12 hours (p<0.05). The additional analgesia requirement was statistically lower in the TAPB group than Group infiltration group (10/30 vs 18/30 respectively, p=0.038). Parental satisfaction was statistically higher in the Group TAPB than Group infiltration (p<0.001). Conclusion: Despite the postoperative effect of TAP block is debatable; ultrasound-guided TAP block reduces postoperative pain after pediatric inguinal hernia repair compared to wound infiltration.
Açıklama
Anahtar Kelimeler
Ultrasonography, transversus abdominis plane block, inguinal hernia, postoperative analgesia
Kaynak
Izmir Dr Behcet Uz Cocuk Hastanesi Dergisi
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
7
Sayı
3
