TAP Block , Intrathecal Morphine Or Their Combination For Post Operative Analgesia Following TAH

Efficacy Of Transversus Abdominis Plane Block , Intrathecal Morphine Or Their Combination For Post Operative Analgesia Following Total Abdominal Hysterectomy.

This randomized controlled clinical trial designed to evaluate the efficacy of transversus abdominis plane (TAP) block, intrathecal morphine, or their combination in postoperative pain relief, as assessed by time to first analgesic request, pain scores, total postoperative analgesic consumption, time of ambulation, complications and hemodynamics following total abdominal hysterectomy.

Inclusion Criteria:

• Female patients aged 30 to 70 years.
• Elective total abdominal hysterectomy.
• ASA physical status I or II.
• Willingness to provide informed consent.

Exclusion Criteria:

• Refusal of the block.
• Allergy to study medications.
• Preexisting coagulation disorders.
• Local infection at the site of needle insertion.
• Uncontrolled respiratory or cardiac disorders.
• Impaired kidney or liver function.