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Assessment of Continuous Epidural Analgesia Versus Continuous Surgical Transverse Abdominis Plane Block for Postoperative Analgesia in Gynecological Surgeries
Background Surgical transverse abdominis plane (TAP) block has been studied in various surgeries. However, its role particularly in the form of continuous infusion in comparison to epidural infusion in open gynecological surgeries remains unknown. Hence, this study was taken up. Methodology Sixty pa...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697177/ http://dx.doi.org/10.7759/cureus.49957 |
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author | Ilangovan, Lakshmipriya G, Sivaperumal Meenakshisundaram, Sathyasuba Selvaraj, Karthikeyan Sethuraman, Raghuraman M M.S, Iswaryarajan Hercule P.B., Hiremath |
author_facet | Ilangovan, Lakshmipriya G, Sivaperumal Meenakshisundaram, Sathyasuba Selvaraj, Karthikeyan Sethuraman, Raghuraman M M.S, Iswaryarajan Hercule P.B., Hiremath |
author_sort | Ilangovan, Lakshmipriya |
collection | PubMed |
description | Background Surgical transverse abdominis plane (TAP) block has been studied in various surgeries. However, its role particularly in the form of continuous infusion in comparison to epidural infusion in open gynecological surgeries remains unknown. Hence, this study was taken up. Methodology Sixty patients were assigned to either of the two groups: continuous epidural (Group E) or continuous infusion in the surgical TAP (Group S). The primary outcomes were visual analog scale (VAS) pain scores and rescue analgesic requirements. Postoperative complications such as nausea/vomiting, hypotension, and bradycardia were also assessed. Results Mean pain scores were significantly lesser in Group E. However, 80% (24) of Group E and 50% (15) of Group S did not require rescue analgesia, which was not statistically significant. Adverse effects did not differ significantly between the two groups. Conclusions The efficacy of the continuous surgical TAP block is similar to a continuous epidural. Therefore, it can be considered in settings with limited resources and expertise or in cases of contraindications for an epidural. |
format | Online Article Text |
id | pubmed-10697177 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106971772023-12-06 Assessment of Continuous Epidural Analgesia Versus Continuous Surgical Transverse Abdominis Plane Block for Postoperative Analgesia in Gynecological Surgeries Ilangovan, Lakshmipriya G, Sivaperumal Meenakshisundaram, Sathyasuba Selvaraj, Karthikeyan Sethuraman, Raghuraman M M.S, Iswaryarajan Hercule P.B., Hiremath Cureus Anesthesiology Background Surgical transverse abdominis plane (TAP) block has been studied in various surgeries. However, its role particularly in the form of continuous infusion in comparison to epidural infusion in open gynecological surgeries remains unknown. Hence, this study was taken up. Methodology Sixty patients were assigned to either of the two groups: continuous epidural (Group E) or continuous infusion in the surgical TAP (Group S). The primary outcomes were visual analog scale (VAS) pain scores and rescue analgesic requirements. Postoperative complications such as nausea/vomiting, hypotension, and bradycardia were also assessed. Results Mean pain scores were significantly lesser in Group E. However, 80% (24) of Group E and 50% (15) of Group S did not require rescue analgesia, which was not statistically significant. Adverse effects did not differ significantly between the two groups. Conclusions The efficacy of the continuous surgical TAP block is similar to a continuous epidural. Therefore, it can be considered in settings with limited resources and expertise or in cases of contraindications for an epidural. Cureus 2023-12-05 /pmc/articles/PMC10697177/ http://dx.doi.org/10.7759/cureus.49957 Text en Copyright © 2023, Ilangovan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anesthesiology Ilangovan, Lakshmipriya G, Sivaperumal Meenakshisundaram, Sathyasuba Selvaraj, Karthikeyan Sethuraman, Raghuraman M M.S, Iswaryarajan Hercule P.B., Hiremath Assessment of Continuous Epidural Analgesia Versus Continuous Surgical Transverse Abdominis Plane Block for Postoperative Analgesia in Gynecological Surgeries |
title | Assessment of Continuous Epidural Analgesia Versus Continuous Surgical Transverse Abdominis Plane Block for Postoperative Analgesia in Gynecological Surgeries |
title_full | Assessment of Continuous Epidural Analgesia Versus Continuous Surgical Transverse Abdominis Plane Block for Postoperative Analgesia in Gynecological Surgeries |
title_fullStr | Assessment of Continuous Epidural Analgesia Versus Continuous Surgical Transverse Abdominis Plane Block for Postoperative Analgesia in Gynecological Surgeries |
title_full_unstemmed | Assessment of Continuous Epidural Analgesia Versus Continuous Surgical Transverse Abdominis Plane Block for Postoperative Analgesia in Gynecological Surgeries |
title_short | Assessment of Continuous Epidural Analgesia Versus Continuous Surgical Transverse Abdominis Plane Block for Postoperative Analgesia in Gynecological Surgeries |
title_sort | assessment of continuous epidural analgesia versus continuous surgical transverse abdominis plane block for postoperative analgesia in gynecological surgeries |
topic | Anesthesiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697177/ http://dx.doi.org/10.7759/cureus.49957 |
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