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<cfResPublId>ibn-ResPubl-59022</cfResPublId>
<cfResPublDate>2017-10-01</cfResPublDate>
<cfVol>24</cfVol>
<cfIssue>2</cfIssue>
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<cfISSN>2392-7518</cfISSN>
<cfURI>https://ibn.idsi.md/ro/vizualizare_articol/59022</cfURI>
<cfTitle cfLangCode='EN' cfTrans='o'>Postoperative analgesic efficiency of transversus abdominis plane block after ventral hernia repair: A prospective, randomized, controlled clinical trial</cfTitle>
<cfKeyw cfLangCode='EN' cfTrans='o'>Pain management; Postoperative pain; Transversus abdominis plane block; Ventral hernia</cfKeyw>
<cfAbstr cfLangCode='EN' cfTrans='o'><p>Background and aims: Effective postoperative analgesia is a key element in reducing postoperative morbidity, accelerating recovery and avoiding chronic postoperative pain. The aim of this study was to evaluate the effectiveness of ultrasound-guided Transversus Abdominis Plane (TAP) block, performed before surgical incision, in providing postoperative analgesia for patients undergoing open ventral hernia repair under general anaesthesia. Methods: Seventy elective patients scheduled for open ventral hernia repair surgery under general anaesthesia were divided randomly into two equal groups: Group I received bilateral TAP block performed before surgical incision (n = 35); Group II received systemic postoperative analgesia with parenteral opioid (morphine) alone (n = 35). Postoperatively pain scores at rest and with movement, total morphine consumption and opioid related side effects were recorded. Results: Postoperative pain scores at rest and mobilization/cough were significantly higher in patients without TAP block (p &lt; 0.05). Mean intraoperative fentanyl consumption was comparable between the two groups: 0.75 &plusmn; 0.31 mg in group I (TAP) and 0.86 &plusmn; 0.29 mg in group II (MO), p = 0.1299. Patients undergoing preincisional TAP block had reduced morphine requirements during the first 24 hours after surgery, compared to patients from group II, without TAP block (p = 0.0001). There was no difference in the incidence of opioid related side effects (nausea, vomiting) in the both groups during the first 24 postoperative hours. Conclusion: The use of preincisional ultrasound guided TAP block reduced the pain scores at rest and with movement/cough, opioid consumption and opioid-related side effects after ventral hernia repair when compared with opioid-only analgesia.</p></cfAbstr>
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<cfFamilyNames>Chesov</cfFamilyNames>
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<cfFamilyNames>Belîi</cfFamilyNames>
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