Original Articles
A Comparative Study of Tap, Dual Tap and Ilioinguinal-Iliohypogastric Nerve Blocks for Postoperative Analgesia in Inguinal Hernioplasty | |
Dr. Abha Tiwari, Dr. Geeta Bhandari, Dr. A.K.Chauhan | |
Aim & Objectives: Open inguinal hernia repair is a commonly performed procedure which is associated with substantial postoperative pain. The objective of this study is to compare the efficacy of TAP, Dual TAP and Ilioinguinal-Iliohypogastric nerve blocks in post op analgesia after inguinal hernioplasty, first rescue analgesia requirement in the three groups and total analgesic consumption over 24 hours in the three groups. Methods: In this prospective comparative study 60 patients undergoing elective unilateral inguinal hernioplasty under SAB were randomly assigned in three equal groups. Group T received TAP block with 20ml (0.25%) bupivacaine, Group D received both TAP & IL-IH block with 15ml (0.25%) bupivacaine each and group I received Ilioinguinal-Iliohypogastric block with 15ml (0.25%) bupivacaine before SAB given for surgery. TAP was given by landmark technique and IL-IH block by PNS guided technique using stimuplex needle 50mm. Results: There is no significant difference in mean age, pulse rate, spo2, systolic, diastolic and mean arterial pressure in all the three groups. The mean VAS with rest and movement at 2 hours, 6 hours, 12 hours and 24 hours was significantly more among Ilioinguinal-Iliohypogastric and TAP groups compared to Dual TAP group. Similarly the mean PCM (mg) and Tramadol (mg) usage was significantly more among Ilioinguinal-Iliohypogastric and TAP groups compared to Dual TAP group. Conclusion: Dual TAP block is significantly provide better post op analgesia compared to TAP and illioinguinal-illiohypogastric block. Also TAP and IL/IH are equivocal in relieving postop pain after herniolasty. |
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