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This study was conducted to demonstrate post-abdominoplasty analgesic duration consequent to three different surgically infiltrated LA techniques; bilateral TAPB, bilateral RSB and subcutaneous infiltration using the same volume of 0.25% bupivacaine (40 ml). Pain score, total analgesic rescue requests and the total amount of systemic rescue analgesia used in the first postoperative day in addition to any detected postoperative complications were also recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transevrsus abdominus plane block group | Active Comparator |
| |
| Rectus sheath block group | Active Comparator |
| |
| local infiltration group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transevrsus abdominus plane block | Drug | a blunt needle was advanced in the midaxillary line to reach the fascial layer between the internal oblique and transverse abdominis muscles detected by facial click sensation. The LA was slowly injected so as to detect any sign of toxicity or incorrect needle tip position (as resistance) requiring needle repositioning then TAPB was repeated on the opposite side. |
| Measure | Description | Time Frame |
|---|---|---|
| morphine consumption (mg) | postoperative morphine consumption in milligrams in the 1st 24 hours postoperatively | up to 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mansoura university | Al Mansurah | Dakahlia Governorate | Egypt |
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| Rectus sheath block | Drug | In RSB group, 2-3 cm from midline, about 3-5 cm above the umbilicus, the needle was advanced at right angle to the skin. The needle reaches the space between the posterior layer of the rectus sheath and rectus abdominis muscle detected by firm resistance of the posterior wall, The LA was slowly injected then the same steps were repeated on the other side. |
|
| local anesthesia infiltartion | Drug | 40 mls of 0.255 bupivacaine will be infiltrated at skin incision |
|