Ultrasound Guided TAPB vs Surgical TAPB With Bupivacaine in Cesarean Section

Ultrasound Guided Transversus Abdominis Plane Block (TAPB) vs Surgical TAPB With Bupivacaine for Acute Pain Control in Cesarean Section: A Randomized Clinical Trial

The aim of this study is to compare Surgical Transversus abdominis plane block and Ultrasound guided transversus abdominis plane block (TAPB) as a postoperative analgesic regimen in female patients undergoing elective cesarean delivery.

Caesarean delivery rates have been increasing worldwide nowadays. At rate of [52%], Egypt stands out among countries with the world's highest cesarean delivery percentages . Within the Arab region, rate of cesarean section far higher in Egypt than other Arab countries.

A much simpler and theoretically superior means of establishing a TAP block. When using a transcutaneous (conventional) approach there is always the risk of peritoneal puncture with its attendant complications. Moreover, there are technical difficulties, especially in obese women and the procedure requires specialist equipment, a skilled operator and training in ultrasonography. Our approach obviates these risks and difficulties because the procedure is carried out under direct vision, and it is much easier to perform by the surgeon during caesarean section.

Inclusion Criteria:

• Full term pregnant women
• Older than 21 years of age
• Had elective cesarean section with Pfannenstiel incision.

Exclusion Criteria:

• Patients with cesarean section using different surgical incision
• History of addiction [including opioids and benzodiazepines]
• Allergy to the anesthetic analgesia
• Psychological disorders
• Coagulopathies
• Infection at the block injection site.