Analgesic effectiveness of transversus abdominis block after open appendectomy: A Randomized Control Trial

Raheel Ahmed; Sundas Dastagir; Hira Ashfaq; Imrana Zulfikar; Sabin Zafar; Mumtaz Hussain

Abstract
Objective: To compare the post-operative pain in patients undergoing open appendectomy with and without ipsilateral transversus abdominis plane block.
Methodology: This prospective randomized controlled trial carried out in the department of Surgery, DUHS/Civil Hospital Karachi from October 2019 to April 2020. It included 60 consecutive patients of either sex divided in two equal groups with one group (n=30) randomized to transversus abdominis plane block (TAP block group). Pain was assessed with Visual Analogue Score (VAS score, 1-10) following surgery. Post stratification independent t test was applied taking p-value of ≤0.05 as significant.
Results: VAS pain score was significantly lower in all patients in TAP Block group i.e 3.89±1.19 and 4.18±0.75, respectively as compared to controlled group i.e 8.11±1.40 and 8.07±0.75, respectively (p=0.001). Length of hospital stay was reduced in TAP block group.
Conclusion: TAP block following open appendectomy was associated with decreased post-operative pain and therefore it could be utilized as an effective part of multimodal analgesic regimen.

Key words: Open appendectomy, VAS score, TAP block.

ABOUT JOURNAL About Publisher Contact Us Editorial & Peer Review Process	POLICIES Privacy Policy Editorial Policy Author's Rights and Obligations Conflict of Interest Policy Plagiarism Policy Advertising Policy	STATEMENTS Terms of Use Author's Rights and Obligations Publication Ethics and Publication Malpractice Statement Protection of Research Participants (Statement On Human And Animal Rights) License Information

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access. The articles in Rawal Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

Indexed in Scopus, Web of Science, WHO Index Medicus IMEMR, Emromedex, Pakmedinet, ExtraMED and Tehqeeqat

How to cite this article

	Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements