Comparative Evaluation of Tapand Local Infiltration of 20 Ml of Bupivacaine 0.25% for Postoperative Analgesia in Open Inguinal Hernia Repair

Background and aim:Transversus abdominis plane block (TAPblock) is a novel procedure to provide postoperative analgesia following inguinal hernia surgery. The utilization of ultrasound has greatly augmented the success rate of this block and additionally avoiding complications. The aim of our study was to gauge the analgesic efcacy of ultrasound-guided TAP block in patients undergoing unilateral open inguinal hernia repair. Materials and methods: 60 male patients scheduled for elective inguinal hernia repair were selected for the study. At the end of the surgical procedure, they were randomly divided into two groups. Ultrasound-guided TAP block was performed with 20 mLof 0.25% bupivacaine or local inltration with 10 mL of 0.25% bupivacaine . Visual analog scale (VAS) scores were used to assess pain. Paracetamol was given if VAS > 3 and tramadol was used when VAS > 6. Patients were monitored for VAS scores and total analgesic consumption for the 24-hour period. Results: The TAP block with bupivacaine reduced VAS scores at 4, 6, and 12 hours. There was no distinction in VAS scores at 0, 2, and 24 hours between the two groups. The duration of analgesia for TAP block with bupivacaine lasted for 390 minutes. Total analgesics consumption was also signicantly reduced in TAP with bupivacaine than the group with local inltration. No complication was reported in both the groups. Conclusion: The ultrasound-guided TAP block provides good postoperative analgesia, reduces analgesic requirements, and provides good VAS scores with fewer complications following open inguinal hernia surgery.