Comparison of the Mean Post-Operative Pain Score with Ultrasound Guided Transversus Abdominis Plane (TAP) Block and Wound Infiltration with Local an Aesthetic Agent in Abdominal Surgeries

Abubakar Sadique; Asjad Sharif; Amna Gulrez

doi:10.51253/pafmj.v73i6.4525

Authors

Abubakar Sadique Department of Anesthesia, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Asjad Sharif Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Amna Gulrez Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.4525

Keywords:

Abdominal surgeries, Post-operative pain, Transversus abdominis plane block

Abstract

Objectives: To compare the mean post-operative pain score with ultrasound-guided transversus abdominis plane block and wound infiltration with local anaesthetic agents in abdominal surgeries.

Study design: Comparative prospective study

Place and Duration of Study: Department of Anaesthesia, Intensive Care and Pain Management, Combined Military Hospital, Bahawalpur Pakistan, from Oct 2018 to Apr 2019.

Methodology: Sixty patients undergoing abdominal surgery aged 18-60 years were included. The patients in Group-A
received transverses abdominis plane block with 20 ml of 0.25% Bupivacaine bilaterally, while those in Group-B received 20
ml of 0.25% Bupivacaine as local wound infiltration. Each patient was followed till 6 hours post-operatively.

Results: Out of 60 patients, 35(58.33%) were male, and 25(41.67%) were females. In our study, the Visual analogue score was 1.63±0.85 in Group-A (ultrasound-guided TAP block) compared with 4.47±1.07 in patients with Group-B (wound infiltration with a local anaesthetic agent) with a p-value of 0.001, which was statistically significant.

Conclusion: The study concluded that the mean pain score in patients with ultrasound-guided Transversus abdominis plane
block is less compared to wound infiltration with local anaesthetic agents in abdominal surgeries.

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