Evaluation of ultrasound-guided transversalis fascia plane block for postoperative analgesia in cesarean section: A prospective, randomized, controlled clinical trial

Şerifsoy, Talat Ercan; Tulgar, Serkan; Selvi, Onur; Şentürk, Özgür; İlter, Erdin; Peker, Berna Haliloglu; Özer, Zeliha

doi:10.1016/j.jclinane.2019.06.025

Cited by 22 publications

(30 citation statements)

References 21 publications

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“…Coping with postoperative pain is very important for the comfort of both the patient and the newborn following CD. 16,17 Pain following CD consists of a somatic component originating from the surgical skin incision, as well as a visceral component due to uterine exteriorisation and stretching. [18][19][20] Regional anaesthesia techniques that can be used in CD vary considerably.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the analgesic effects of two quadratus lumborum blocks (QLBs), QLB type II vs QLB type III, in caesarean delivery: A randomised study

et al. 2021

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Interfascial plane blocks are very common regional anaesthesia techniques used for postoperative analgesia, and they have become highly diversified with the development of ultrasonography technologies and the introduction of this technology into anaesthesia practice. 1 The best known and first described techniques are the transversus abdominis plane (TAP) block and the ilioinguinal-iliohypogastric (II-IH) block. The efficacy of these blocks has been investigated in lower abdominal surgeries, such as caesarean delivery (CD). It has been shown that these blocks decrease pain scores and opioid consumption in the postoperative period in CD. 2,3

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Section: Discussionmentioning

confidence: 99%

Comparison of the analgesic effects of two quadratus lumborum blocks (QLBs), QLB type II vs QLB type III, in caesarean delivery: A randomised study

et al. 2021

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“…Several clinical trials have demonstrated that the TFP block is associated with good postoperative analgesia with reduced analgesic consumption after iliac crest bone graft harvesting [ 5 ] and cesarean section [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…The analgesic efficacy of TFP block have been demonstrated in adults' surgeries, including iliac crest bone graft harvesting [5], inguinal herniorrhaphy [6] and caesarean section [7,8]. In pediatric surgery, the only report of TFP block was described by Ahiskalioglu et al [9] in two children.…”

Section: Introductionmentioning

confidence: 99%

“…The analgesic efficacy of TFP block has been demonstrated in adult surgery, including iliac crest bone graft harvesting [ 5 ], inguinal herniorrhaphy [ 6 ], and cesarean section [ 7 , 8 ]. In pediatric surgery, the only report of the TFP block was provided by Ahiskalioglu et al [ 9 ] in two children, one of them underwent unilateral open inguinal herniorrhaphy and the other was scheduled for reimplantation of the ureter into urinary bladder via pfannenstiel incision.…”

Section: Introductionmentioning

confidence: 99%

“…The only case report of TFP block in children was described by Ahiskalioglu et al [9] who performed TFP block in two children with similar results to that of our study, one of them was 5 years old girl scheduled for uretero-cystostomy via Pfannenstiel incision and the other child was 4 years boy scheduled for unilateral inguinal herniorrhaphy and they reported improved postoperative analgesia in both cases. Several clinical trials have demonstrated that TFP block is associated with good postoperative analgesia with reduced analgesic consumption after iliac crest bone graft harvesting [5] and cesarean section [7,8].…”

mentioning

confidence: 99%

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Preemptive analgesic efficacy of ultrasound-guided transversalis fascia plane block in children undergoing inguinal herniorrhaphy: a randomized, double-blind, controlled study

Abdelbaser

Mageed

El-Emam

et al. 2021

Korean J Anesthesiol

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Background: Surgical repair of congenital inguinal hernia results in significant postoperative discomfort and pain. The aim of the current study was to evaluate the pre-emptive analgesic efficacy of a transversalis fascia plane (TFP) block after pediatric inguinal herniorrhaphy.Methods: Forty-four patients aged 12 to 60 months who underwent unilateral inguinal herniorrhaphy were enrolled. Four patients were excluded, and the remaining were allocated to the control group and the TFP block group. In the TFP block group, 0.4 mL/kg bupivacaine 0.25% was instilled in the plane between the transversus abdominis and transversalis fascia, while in the control group 0.9% saline was used instead of bupivacaine. The collected data were the total dose of paracetamol consumed during the first 12 h postoperatively, the postoperative Face, Leg, Activity, Cry, Consolability (FLACC) pain score, time to first use of rescue analgesia, number of patients required additional postoperative analgesics, and parents' satisfaction.Results: The median paracetamol consumption was significantly lower in the TFP block group than in the control group, and FLACC pain scores were significantly lower for all study times in the TFP block group with higher parental satisfaction scores than those for the control group. The number of patients who required additional analgesics was significantly lower in the TFP block group than in the control group. Conclusions: The use of a TFP block decreases postoperative analgesic consumption and postoperative pain intensity after pediatric inguinal herniorrhaphy. Future studies with larger sample size are required to evaluate the actual complications rate of TFP block.

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Understanding fascial anatomy and interfascial communication: implications in regional anesthesia

Shao

Li²,

Shi³

et al. 2022

J Anesth

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Evaluation of ultrasound-guided transversalis fascia plane block for postoperative analgesia in cesarean section: A prospective, randomized, controlled clinical trial

Cited by 22 publications

References 21 publications

Comparison of the analgesic effects of two quadratus lumborum blocks (QLBs), QLB type II vs QLB type III, in caesarean delivery: A randomised study

Comparison of the analgesic effects of two quadratus lumborum blocks (QLBs), QLB type II vs QLB type III, in caesarean delivery: A randomised study

Preemptive analgesic efficacy of ultrasound-guided transversalis fascia plane block in children undergoing inguinal herniorrhaphy: a randomized, double-blind, controlled study

Understanding fascial anatomy and interfascial communication: implications in regional anesthesia

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