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Inguinal hernia repair with mesh has a high incidence of postoperative chronic pain. Transversus abdominis plane block is a current intervention to support postoperative analgesia, however it is recently in research area how to be applied in different surgical areas to be more effective than intravenous opioids. Subcostal transversus abdominis plane block is not advised but has not been studied to be effective for postoperative analgesia in inguinal herniography patients.
This study aims to research the effect of subcostal transversus abdominis plane block in subacute postoperative pain after inguinal hernia repair
Patients were divided into two groups, one is control and the second is subcostal transversus abdominis plane block (STAP) group. After standard general anesthesia application, control group ( Group I) had 1 gram of paracetamol and 100 mg of contramal just after starting surgical closure. Group II (STAP) had 1 gram of paracetamol and 100 mg of contramal, after surgical closure transversus abdominis plane block in subcostal area was applied to the patient.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tramadol and paracetamol | Active Comparator | subjects were administered intravenous analgesia (control group) Tramadol 100 mg and paracetamol 1000 mg at the end of the surgery |
|
| transversus abdominis plane block | Active Comparator | patients that applied transversus abdominis plane block at the end of the surgery after given intravenous analgesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| transversus abdominis plane block | Procedure | A peripheric block needle is inserted entering the facia between musculus rectus abdominis and musculus transversus abdominis with ultrasonography and local anesthetics are injected in the facia. |
| Measure | Description | Time Frame |
|---|---|---|
| verbal numeric scale | patients were questioned for pain graduation to give a point from 0 to 10 according to the intensity of the pain. 0 equals to no pain, 10 equals to the strongest pain | 1 month after the operation |
| Measure | Description | Time Frame |
|---|---|---|
| verbal numeric scale | according to the intensity of the pain. 0 equals to no pain, 10 equals to the strongest pain | 15 minutes, 1-6-12-24 hours and 15 days after operation |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| C478659 | Ultracet |
| D014147 | Tramadol |
| ID | Term |
|---|---|
| D003511 | Cyclohexanols |
| D000441 | Hexanols |
| D005233 | Fatty Alcohols |
| D000438 | Alcohols |
| D009930 |
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|
| Tramadol and paracetamol | Drug | Tramadol 100 mg and paracetamol 1000 mg are applied to the patients at the end of the surgery |
|
|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| Organic Chemicals |
| D004123 | Dimethylamines |
| D008744 | Methylamines |
| D000588 | Amines |
| D008055 | Lipids |