Evaluate the Feasibility of Surgical Transversus Abdominis Plane Block for Postoperative Analgesia After Cesarean Section
Background Transversus abdominis plane (TAP) block is a fascial plane block providing postoperative analgesia after lower abdominal surgeries including Cesarean section. Conventionally, it is administered under ultrasound guidance or by blind technique. We studied a novel transperitoneal surgical TA...
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| Veröffentlicht in: | Journal of obstetrics and gynaecology of India 2019-08, Vol.69 (4), p.330-333 |
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| creator | Kakade, Aniket Wagh, Girija |
| description | Background
Transversus abdominis plane (TAP) block is a fascial plane block providing postoperative analgesia after lower abdominal surgeries including Cesarean section. Conventionally, it is administered under ultrasound guidance or by blind technique. We studied a novel transperitoneal surgical TAP block for providing safe and effective analgesia after Cesarean section through transverse incision.
Methods
A hundred patients who fulfilled the inclusion criteria were included in the study after obtaining informed written consent. They were randomized in two groups: Group A with surgical TAP block and Group B without TAP block as control. Surgical TAP block was administered by transperitoneal route before the closure of peritoneum with 0.25% bupivacaine (dose adjusted with weight of the patient), and visual analogue score was assessed by a blind assessor. Time for rescue analgesia was noted and analyzed with the ‘two independent sample
t
test.’
Results
The duration of postoperative analgesia in hours was significantly longer in the TAP block group compared with the control group (5.14 ± 1.63 vs 2.61 ± 0.89,
p
|
| doi_str_mv | 10.1007/s13224-019-01241-3 |
| format | Article |
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Transversus abdominis plane (TAP) block is a fascial plane block providing postoperative analgesia after lower abdominal surgeries including Cesarean section. Conventionally, it is administered under ultrasound guidance or by blind technique. We studied a novel transperitoneal surgical TAP block for providing safe and effective analgesia after Cesarean section through transverse incision.
Methods
A hundred patients who fulfilled the inclusion criteria were included in the study after obtaining informed written consent. They were randomized in two groups: Group A with surgical TAP block and Group B without TAP block as control. Surgical TAP block was administered by transperitoneal route before the closure of peritoneum with 0.25% bupivacaine (dose adjusted with weight of the patient), and visual analogue score was assessed by a blind assessor. Time for rescue analgesia was noted and analyzed with the ‘two independent sample
t
test.’
Results
The duration of postoperative analgesia in hours was significantly longer in the TAP block group compared with the control group (5.14 ± 1.63 vs 2.61 ± 0.89,
p
< 0.001). There was no reported complication of the surgical technique or any adverse effect of the used drug.
Conclusion
Surgical TAP block via the transperitoneal route is a safe, easy and effective mode of providing postoperative analgesia after Cesarean section. This technique does not need any costly specialist equipment, overcomes the technical limitations of ultrasound-guided TAP block and can be used in obese patients also. It has almost no side effects, and the technique can be easily mastered.</description><identifier>ISSN: 0971-9202</identifier><identifier>EISSN: 0975-6434</identifier><identifier>DOI: 10.1007/s13224-019-01241-3</identifier><identifier>PMID: 31391739</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Gynecology ; Medicine ; Medicine & Public Health ; Obstetrics/Perinatology/Midwifery ; Original ; Original Article</subject><ispartof>Journal of obstetrics and gynaecology of India, 2019-08, Vol.69 (4), p.330-333</ispartof><rights>Federation of Obstetric & Gynecological Societies of India 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-7d6e5724d945c68bd142860e4cee9945573ccd6e2f1b2e21e85705f4a6e007973</citedby><cites>FETCH-LOGICAL-c446t-7d6e5724d945c68bd142860e4cee9945573ccd6e2f1b2e21e85705f4a6e007973</cites><orcidid>0000-0002-7598-5209</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661045/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661045/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31391739$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kakade, Aniket</creatorcontrib><creatorcontrib>Wagh, Girija</creatorcontrib><title>Evaluate the Feasibility of Surgical Transversus Abdominis Plane Block for Postoperative Analgesia After Cesarean Section</title><title>Journal of obstetrics and gynaecology of India</title><addtitle>J Obstet Gynecol India</addtitle><addtitle>J Obstet Gynaecol India</addtitle><description>Background
Transversus abdominis plane (TAP) block is a fascial plane block providing postoperative analgesia after lower abdominal surgeries including Cesarean section. Conventionally, it is administered under ultrasound guidance or by blind technique. We studied a novel transperitoneal surgical TAP block for providing safe and effective analgesia after Cesarean section through transverse incision.
Methods
A hundred patients who fulfilled the inclusion criteria were included in the study after obtaining informed written consent. They were randomized in two groups: Group A with surgical TAP block and Group B without TAP block as control. Surgical TAP block was administered by transperitoneal route before the closure of peritoneum with 0.25% bupivacaine (dose adjusted with weight of the patient), and visual analogue score was assessed by a blind assessor. Time for rescue analgesia was noted and analyzed with the ‘two independent sample
t
test.’
Results
The duration of postoperative analgesia in hours was significantly longer in the TAP block group compared with the control group (5.14 ± 1.63 vs 2.61 ± 0.89,
p
< 0.001). There was no reported complication of the surgical technique or any adverse effect of the used drug.
Conclusion
Surgical TAP block via the transperitoneal route is a safe, easy and effective mode of providing postoperative analgesia after Cesarean section. This technique does not need any costly specialist equipment, overcomes the technical limitations of ultrasound-guided TAP block and can be used in obese patients also. It has almost no side effects, and the technique can be easily mastered.</description><subject>Gynecology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Original</subject><subject>Original Article</subject><issn>0971-9202</issn><issn>0975-6434</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kU1vEzEQhi0EoqXwBzggH7ks-Gvt7AUpRC2tVIlKLWfL651NXTZ28Hgj5d_jNKWCCwdrLM87r2fmIeQ9Z584Y-YzcimEahjv6hGKN_IFOWWdaRutpHr5eOdNJ5g4IW8QHxhrDRPqNTmRXHbcyO6U7M93bppdAVrugV6Aw9CHKZQ9TSO9nfM6eDfRu-wi7iDjjHTZD2kTYkB6M7kI9OuU_E86pkxvEpa0hexK2AFdRjetAYOjy7FApitAl8FFegu-hBTfklejmxDePcUz8uPi_G512Vx__3a1Wl43XildGjNoaI1QQ6darxf9wJVYaAbKA3T1rTXS-6oRI-8FCA6LOmQ7Kqeh7qgz8ox8Ofpu534Dg4dYspvsNoeNy3ubXLD_ZmK4t-u0s1przlRbDT4-GeT0awYsdhPQw3SYPs1ohTCMcdWJg1QcpT4nxAzj8zec2QMze2RmKzP7yMzKWvTh7wafS_5AqgJ5FGBNxTVk-5DmXNeL_7P9DYXQpGE</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Kakade, Aniket</creator><creator>Wagh, Girija</creator><general>Springer India</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7598-5209</orcidid></search><sort><creationdate>20190801</creationdate><title>Evaluate the Feasibility of Surgical Transversus Abdominis Plane Block for Postoperative Analgesia After Cesarean Section</title><author>Kakade, Aniket ; Wagh, Girija</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-7d6e5724d945c68bd142860e4cee9945573ccd6e2f1b2e21e85705f4a6e007973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Gynecology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Original</topic><topic>Original Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kakade, Aniket</creatorcontrib><creatorcontrib>Wagh, Girija</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of obstetrics and gynaecology of India</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kakade, Aniket</au><au>Wagh, Girija</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluate the Feasibility of Surgical Transversus Abdominis Plane Block for Postoperative Analgesia After Cesarean Section</atitle><jtitle>Journal of obstetrics and gynaecology of India</jtitle><stitle>J Obstet Gynecol India</stitle><addtitle>J Obstet Gynaecol India</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>69</volume><issue>4</issue><spage>330</spage><epage>333</epage><pages>330-333</pages><issn>0971-9202</issn><eissn>0975-6434</eissn><abstract>Background
Transversus abdominis plane (TAP) block is a fascial plane block providing postoperative analgesia after lower abdominal surgeries including Cesarean section. Conventionally, it is administered under ultrasound guidance or by blind technique. We studied a novel transperitoneal surgical TAP block for providing safe and effective analgesia after Cesarean section through transverse incision.
Methods
A hundred patients who fulfilled the inclusion criteria were included in the study after obtaining informed written consent. They were randomized in two groups: Group A with surgical TAP block and Group B without TAP block as control. Surgical TAP block was administered by transperitoneal route before the closure of peritoneum with 0.25% bupivacaine (dose adjusted with weight of the patient), and visual analogue score was assessed by a blind assessor. Time for rescue analgesia was noted and analyzed with the ‘two independent sample
t
test.’
Results
The duration of postoperative analgesia in hours was significantly longer in the TAP block group compared with the control group (5.14 ± 1.63 vs 2.61 ± 0.89,
p
< 0.001). There was no reported complication of the surgical technique or any adverse effect of the used drug.
Conclusion
Surgical TAP block via the transperitoneal route is a safe, easy and effective mode of providing postoperative analgesia after Cesarean section. This technique does not need any costly specialist equipment, overcomes the technical limitations of ultrasound-guided TAP block and can be used in obese patients also. It has almost no side effects, and the technique can be easily mastered.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>31391739</pmid><doi>10.1007/s13224-019-01241-3</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-7598-5209</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Gynecology Medicine Medicine & Public Health Obstetrics/Perinatology/Midwifery Original Original Article |
| title | Evaluate the Feasibility of Surgical Transversus Abdominis Plane Block for Postoperative Analgesia After Cesarean Section |
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