Ultrasound-assisted transversus abdominis plane block vs wound infiltration in pediatric patient with inguinal hernia: randomized controlled trial

Pınar Kendigelen, Ayse Cigdem Tutuncu, Emre Erbabacan, Birsel Ekici, Guniz Köksal, Fatis Altındas, Guner Kaya
Journal of Clinical Anesthesia 2016, 30: 9-14

STUDY OBJECTIVE: To compare the analgesic efficacy of ultrasound-assisted transversus abdominis plane (TAP) block and wound infiltration during the first postoperative 24hours.

DESIGN: A prospective, observer-blinded, randomized, and controlled study

SETTING: Operating room of a university hospital.

PATIENTS: Forty patients received a TAP block (TAP group) and 40 patients received wound infiltration (INF group) at the end of the surgery.

INTERVENTIONS: Patients were randomized to receive a TAP block or wound infiltration. Postoperative analgesics were administered on request and selected based on pain severity.

MEASUREMENTS: Pain scores, analgesic drug requirement, and side effects were observed for 24hours.

MAIN RESULTS: Postoperative pain scores were lower in TAP group compared to INF group (P<.001). Analgesic consumption was significantly higher at the 5th minute and 1st, 6th, and 12th hours in the INF group (P<.001). The frequency of additional analgesic use in home and the total analgesic used during the postoperative 24hours were significantly higher in INF group (P<.001). Side effects were lower in the TAP group. Parent's satisfaction scores were higher in TAP group.

CONCLUSION: Transversus abdominis plane block is effective method with convenient technique, drug dosage, and volume in pediatric patients undergoing inguinal hernia surgery.

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