The analgesic efficacy of ultrasound-guided transversus abdominis plane block on postoperative pain and morphine consumption in varicocelectomy

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dc.contributor.authorÖmür D.
dc.contributor.authorOğuzalp H.
dc.contributor.authorKiraz H.A.
dc.contributor.authorEkin S.
dc.contributor.authorAlan C.
dc.contributor.authorErsay A.R.
dc.contributor.authorHancı V.
dc.date.accessioned2024-07-22T08:11:54Z
dc.date.available2024-07-22T08:11:54Z
dc.date.issued2016
dc.description.abstractObjectives: To evaluate the analgesic effect of transversus abdominis plane (TAP) block administered before varicocele surgery. Methods: This study was completed at the Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey, between January 2011 and April 2013. In a prospective, double blind, randomized, placebo controlled clinical study, 40 male patients scheduled for elective varicocele operations were randomized to group T (treatment group) or group C (controls). After receiving general anesthesia, group T received a TAP block using 20 mL 0.25% bupivacaine on the operation side, whereas group C received a control block using 20 mL 0.9% Sodium chloride. During the first 24 hours after surgery, the patient pain was evaluated using the visual analogue scale (VAS) at rest and while coughing. Postoperative patient controlled analgesia morphine consumption, VAS scores, and side effects were recorded. Results: Of 34 patients, Group T (n=18) had significantly lower VAS pain scores than Group C (n=16) both at rest and while coughing. The total morphine consumed was lower (7.7 ± 4.0) versus 21.6 ± 12.4 mg, p<0.001) in the 24 hours after surgery. Conclusion: As part of a multimodal analgesic regime after varicocelectomy surgery, morphine consumption and VAS pain scores were significantly lower among those receiving 20 mL 0.25% bupivacaine administered for a TAP block than among controls. © 2016, Saudi Arabian Armed Forces Hospital. All rights reserved.
dc.identifier.DOI-ID10.15537/smj.2016.6.14332
dc.identifier.issn03795284
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15836
dc.language.isoEnglish
dc.publisherSaudi Arabian Armed Forces Hospital
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectDouble-Blind Method
dc.subjectElective Surgical Procedures
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMorphine
dc.subjectNerve Block
dc.subjectPain, Postoperative
dc.subjectProspective Studies
dc.subjectVaricocele
dc.subjectYoung Adult
dc.subjectbupivacaine
dc.subjectdesflurane
dc.subjectfentanyl
dc.subjectmetoclopramide
dc.subjectmidazolam
dc.subjectmorphine
dc.subjectnitrous oxide
dc.subjectoxygen
dc.subjectplacebo
dc.subjectpropofol
dc.subjecttenoxicam
dc.subjectvecuronium
dc.subjectmorphine
dc.subjectadult
dc.subjectanalgesic activity
dc.subjectArticle
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectcoughing
dc.subjectdouble blind procedure
dc.subjectdrug use
dc.subjectechography
dc.subjecthuman
dc.subjectmale
dc.subjectnausea
dc.subjectpostoperative pain
dc.subjectprospective study
dc.subjectRamsay Sedation Scale
dc.subjectrandomized controlled trial
dc.subjecttransversus abdominis plane block
dc.subjectultrasound transducer
dc.subjectvaricocelectomy
dc.subjectvisual analog scale
dc.subjectadolescent
dc.subjectaged
dc.subjectelective surgery
dc.subjectmiddle aged
dc.subjectnerve block
dc.subjectPain, Postoperative
dc.subjectprocedures
dc.subjectvaricocele
dc.subjectyoung adult
dc.titleThe analgesic efficacy of ultrasound-guided transversus abdominis plane block on postoperative pain and morphine consumption in varicocelectomy
dc.typeArticle

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