IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-7-20008 Original Research Paper A Study Of Evaluation Of Postoperative Analgesic Efficacy Of Transversus Abdominis Plane Block After Abdominal Surgery Sharma Dr. Dr.Trilok Chand Dr. July 2019 8 7 01 02 ABSTRACT

Introduction: Patients undergoing major abdominal surgeries have postoperative pain and discomfort. TAP block can be used for any surgery involving the lower abdominal wall. This includes bowel surgery, caesarean section, appendicectomy, hernia repair, umbilical surgery and gynaecological surgery. Aims and objectives: To evaluate the postoperative analgesic efficacy of transversus abdominis plane block following abdominal surgeries by assessing differences in pain experienced by participants having a TAP block compared with no TAP block. Material and methods: Sixty patients of either sex of ASA grade 1 and 2 who underwent major gynecological or surgical operations were enrolled for this study. Patients with hepatic and renal abnormalities, hypersensitive to the drug, if they were receiving medical therapies considered to result intolerance to opiates and uncooperative patients were excluded from the study. All the patients received a standard general anaesthetic with standard monitoring and assessed for VAS, sedation and nausea scores. Results: p value of < 0.05 for all three (VAS, sedation and nausea)scores were obtained for TAP group patients meaning results were statistically significant. Conclusion: TAP block holds considerable promise as part of a multimodal analgesic regimen after abdominal surgeries. The TAP block was easy to perform, and provided reliable and effective analgesia in this study, and no complications due to TAP block were detected.