Transversus Abdominis Plane(TAP) Block, Local Infiltration and Intravenous Dexketoprofen in Inguinal Hernia Repair

Comparison of Postoperative Analgesic Efficacy of Preemptive Ultrasound-guided Transversus Abdominis Plane Block, Ultrasound-guided Local Infiltration and Intravenous Dexketoprofen in Inguinal Hernia Repair

This study evaluates the compare the effects of ultrasound guided TAP block, local anesthetic infiltration to the incision line and intravenous dexketoprofen on postoperative analgesic efficacy and rescue tramadol consumption in inguinal hernia repairs.

Currently, multimodal techniques are used in inguinal hernia repairs in addition to pharmacological and regional techniques for postoperative analgesia.TAP block is performed on the principle of hydrodissection of the fascia between the internal oblique and transversus abdominis muscles of the abdominal wall muscles with local anesthetic drugs. Local anesthetic drugs provide analgesic effect up to 24 hours in the postoperative period by blocking the T6-L1 nerves in the facial plane. Local anesthetic infiltration which is one of the regional anesthetic techniques, is another method of postoperative analgesia. intravenous analgesic drug is also used as pharmacological postoperative analgesia method in most clinics.

Inclusion Criteria:

• Subject who aged 18-75 years
• American Society of Anesthesiologist (ASA) I-III
• Subject undergoing unilateral or bilateral inguinal hernia repair

Exclusion Criteria:

• Subject under 18 and over 75 years of age
• ASA IV
• History of allergy to agents
• Analgesic drug use in the last 48 hours
• Morbid obese (BMI> 35)
• Confusion
• Coagulopathy
• Local infection at the injection site
• Subject with heart, lung, hematologic, metabolic and endocrine disease
• Subject who did not want to be included in the study
• Subject who refused the spinal anesthesia
• Subject who failed the spinal anesthesia