Evaluation of the effectiveness of ultrasound-guided transversus abdominis plane (TAP) block for chronic pain after lower abdominal surgery

Year 2022, , 27 - 31, 28.02.2022

Ümit Akkemik , Dostali Aliyev , Güngör Enver Özgencil

https://doi.org/10.54005/geneltip.1005969

Abstract

Aim: This study aimed to evaluate the effectiveness of ultrasound-guided transversus abdominis plane (TAP) block in patients diagnosed with chronic pain after undergoing lower abdominal surgery.
Methods: Patients who were admitted to the pain medicine clinic between January 1, 2016, and January 1, 2020, and underwent TAP block with the diagnosis of chronic pain after undergoing lower abdominal surgery were retrospectively analyzed. The visual analog scale (VAS) score was measured before the procedure and at the 1-month and 3-month follow-ups.
Results: The proportion of patients with a reduction in VAS scores of >50% after TAP block application was 50% at the 1-month follow-up and 72.5% at the 3-month follow-up. The changes in the VAS score was found to be statistically significant (p < 0.05).
Conclusion: Although ultrasound-guided TAP block seems to be an effective treatment method for chronic pain after lower abdominal surgery, further studies and clinical trials investigating different types of surgeries and including a larger number of patients are warranted.

Keywords

Chronic postoperative pain, abdominal wall, Pain Management

Alt abdominal cerrahi sonrası gelişen kronik ağrı tedavisinde ultrason eşliğinde transversus abdominis plan (TAP) bloğunun etkinliğinin değerlendirilmesi

Abstract

Amaç: Calışmamızda alt abdominal cerrahi sonrası gelişen kronik ağrı tanısı konulan hastalarda ultrason rehberliğinde transversus abdominis plan bloğunun etkinliğinin değerlendirilmesi amaçlanmıştır.
Metod: 1 Ocak 2016-1 Ocak 2020 tarihleri arasında ağrı polikliniğine başvuran ve alt abdominal cerrahi sonrası kronik ağrı tanısı ile TAP blok uygulanan hastalar geriye dönük olarak incelendi. Hastaların işlem öncesi, işlem sonrası 1.ay ve 3. Ay Vizüel analog skala (VAS) değerleri karşılaştırıldı.
Bulgular: TAP blok uygulaması sonrası VAS skorlarında >%50 azalma olan hastaların oranı 1 aylık takipte %50 ve 3 aylık takipte %72,5 idi. VAS skorlarındaki değişiklikler istatistiksel olarak anlamlı bulundu (p < 0.05).
Sonuç: Ultrason rehberliğinde TAP blok alt abdominal cerrahi sonrası kronik ağrıda efektif bir tedavi yöntemi gibi görünmekle beraber, farklı ameliyat türlerinde ve daha fazla hastanın yer aldığı ileri çalışmalar ve klinik denemelerin yapılması gerekmektedir.

Keywords

kronik postoperatif ağrı, abdominal duvar, ağrı tedavisi

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