Post-Operative Analgesia in Inguinal Hernia Repair by Quadratus Lumborum Versus Transversalis Fascia Block | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 5, May 2024 | ||||
| DOI: 10.58675/2682-339X.2460 | ||||
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| Authors | ||||
| Sohair Mohamed; Mohamed El Badawy; Ahmed El Hadidi | ||||
| Anesthesia, Intensive Care and Pain management, Faculty of Medicine , Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Surgeries for inguinal hernias are common. Post-operative pain caused by traditional analgesics has worsened. Aim and objectives: To evaluate the efficacy of two postoperative pain relief techniques for patients having a unilateral inguinal hernia repaired: a transmuscular quadratus lumborum block and an ultrasound-guided transversalis fascia plane block. Patients and Methods: This single-masked upcoming randomized clinical study for pain control post-operative patients was conducted on 50 patients divided into two groups [QL versus TS] with anesthesiologists’ companionship in American physical states I and II, aged 21–45 years old, who underwent unilateral repair of an inguinal hernia at Police and Al. Hussain University Hospitals. Results: There was no significant variance amongst QL & TF blocks in the pain score at rest and movement (p > 0.05). A significant distinction existed amongst QL and TF blocks in ease performance (p = 0.0039). There was a statistically significant increase in the heart rate in the TF group compared to QL group 2 and 24 hours postoperatively (P = 0.0015, 0.003, respectively). There was a significant difference in hemodynamics at 1st hr, 4 hr, 12 hr, and 24 p = (0.000039, 0.03838, 0.02684, and 0.00596). Conclusion: When it comes to reducing pain scores as well as opiate intake during non-recurrent inguinal herniorrhaphy, the ultrasound-guided TFP block may be just as effective as the QL block. Technically, a US-guided TFP block is more convenient and quicker. | ||||
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