The postoperative analgesic effect of ultrason-guided transversus abdominis plane block for patients undergoing total abdominal hysterectomy Total abdomi̇nal hi̇sterektomi̇ olgularinda ultrason tekni̇ǧi eşli̇gnde yapilan transversus abdomi̇ni̇s düzlem bloǧunun postoperati̇f analjezi̇k etki̇nli̇ǧi̇

Erdoǧan N., KILIÇASLAN B., Saricaogčlu F., PAMUK A. E., Uzun S., AKINCI S. B., ...More

Anestezi Dergisi, vol.19, no.4, pp.208-212, 2011 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 19 Issue: 4
  • Publication Date: 2011
  • Journal Name: Anestezi Dergisi
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.208-212
  • Keywords: Hysterectomy, Postoperative pain, Transverse abdominis plane block, Ultrasound
  • Lokman Hekim University Affiliated: Yes


Background: Transversus abdominis plane (TAP) block is an effective method of providing postoperative analgesia in patients undergoing abdominal surgery. We evaluated the analgesic efficacy of the ultrasound-guided TAP block with compared epidural analgesia in patients undergoing total abdominal hysterectomy under spinal anesthesia. Methods: A randomized, double-blind trial was performed at a tertiary hospital. Forty patients were randomized to receive spinal anesthesia and epidural analgesia either without (Group I, n=20) or with TAP block (Group II, n=20). Bilateral TAP block was performed with bupivacaine 0.25%. All participants received spinal anesthesia with bupivacaine, followed by postoperative patient-controlled epidural levobupivacaine+fentanyl. Postoperative demand of levobupivacaine+fentanyl, average pain scores, nausea, vomiting, urinary retention, hypotension, satisfaction with pain relief was recorded. Results: Total levobupivacaine + fentanyl use in 48 hours was reduced in group II (mean ± SD Levobupivacaine: 150±43 mg and Fentanyl: 240±68 μg) compared with group I (mean ± SD Levobupivacaine: 428±90 mg and Fentanyl: 685±145 μg) (p<0.05). VAS scores were significantly lower in group II at all times, than in group I (p<0.05). Conclusions: The ultrasound-guided TAP block reduces levobupivacaine+fentanyl requirements, decreases pain scores and increases patient satisfaction after total abdominal hysterectomy.