TAP block in inguinal hernia repair. Randomized controlled trial

Evaluation of the effects of subcostal transversus abdominis plane block on acute and subacute pain development following inguinal herniography: Randomized clinical study

“…Subcostal TAP blocks can achieve effective postoperative analgesia for 24 h when performed with the appropriate technique and correct indications. [17][18][19][20][21][22] We have also shown that an effective postoperative analgesia can prevent subacute pain in the 1 st postoperative month and has beneficial results on the quality of life. The analgesic efficacy in the 1 st postoperative month may be due to an efficient acute postoperative pain treatment by TAP block that has decreased inflammation in the surgical incision area and may also help in preventing chronic postoperative pain, which must be further investigated with clinical studies.…”

“…[16] Although it has been proved that TAP block is more effective than other methods in relieving pain following inguinal herniography, it still needs to be evaluated in terms of indications, technique, drug concentration and volumes, the region of performance, and mechanism of action. [16][17][18] It was shown that the local anesthetic-contrast media mixture administered to the TAP fascia through the subcostal area was inadequately distributed and did not reach to the paravertebral area. [5] There is a direct effect of the distribution of the local anesthetics inside the TAP fasciae on the analgesic efficacy of the technique.…”

Effect of Adding Magnesium Sulphate as An Adjuvant to Bupivacaine in Ultrasound Guided Transversus Abdominis Plane (TAP) Block for

“…Patients who received TPVB with 0.5% plain bupivacaine and 150 mg of magnesium sulphate had sensory block and analgesia for noticeably longer times according to Ammar et al (16) . A randomised controlled trial was also carried out by Aguirre-Ospina et al (21) to evaluate a TAP block's analgesic effectiveness in patients undergoing inguinal hernia surgery, TAP block caused a reduction in opiate use.…”

Ultrasound-guided transverse abdominis plane and ilioinguinal-iliohypogastric nerve block versus illioinguinal- illiohypogastric nerve block for inguinal hernia repair in patients with liver cirrhosis

“…Several studies compared US-guided TAB block to US-guided ILIH nerve block for postoperative analgesia in hernia repair in adults [17,18] and pediatric [19] patients and stated that better pain control was provided in ILIH block group most probably due to the injection of the same volume of local anesthetics for both blocks, as TAB block is a field block requiring [20] or to placebo [21]. Hosalli et al [22] in 2019 compared the efficacy of the combined TAB/ILIH nerve block to the use of ILIH nerve block alone for postoperative patients; they found that this dual block (TAB/ILIH) provided more effective postoperative analgesia and longer time.…”