فاطمه أحمد محمد عبد الفتاح
أستاذ مساعد
Ultrasound-guided oblique subcostal transversus abdominis plane block versus erector spinae plane block as pre-emptive analgesia for open umbilical hernia repair: a comparative, randomized, double-blinded clinical trial
The Egyptian Journal of Surgery • 2023
معلومات البحث
المؤلفون
Ramy M. Saleh; Fatma A.A. Fatah
الكلمات المفتاحية
erector spinae plane block, pain control, transversus abdominis plane block, umbilical
hernia
المجلة العلمية
The Egyptian Journal of Surgery
الناشر
Not Available
المجلد
41
العدد
3
الصفحات
6
publication.type
Local
رابط البحث
Open Link
المواد المرفقة
Not Available
الملخص
Background and aim
Ultrasound (US) oblique subcostal transversus abdominis plane (OSTAP) block
provides excellent pain relief following open umbilical hernia repair. The erector
spinae (ES) plane block has recently received a great deal of attention as it is
simple to operate. Our research compares US-guided bilateral ES block with
bilateral oblique OSTAP block as pre-emptive analgesia.
Patients and methods
This clinical trial included 70 participants of both sexes who were prepared for
optional open umbilical hernia repair. Before beginning of the surgical procedure,
they received either bilateral US-guided ES block (group E) or bilateral ultrasonicguided OSTAP block (group T). The primary outcome of our trial was the total
morphine intake during the first 24h postoperatively.
Results
The total amount of morphine consumed (mg) within the first 24h following
the procedure was statistically substantially less in group E than in group T
(P0.1). Regarding verbal numerical rating scores when compared between the
two groups at rest and cough, it was statistically significant lower at 30min, 2h, and
4h (P
Ultrasound (US) oblique subcostal transversus abdominis plane (OSTAP) block
provides excellent pain relief following open umbilical hernia repair. The erector
spinae (ES) plane block has recently received a great deal of attention as it is
simple to operate. Our research compares US-guided bilateral ES block with
bilateral oblique OSTAP block as pre-emptive analgesia.
Patients and methods
This clinical trial included 70 participants of both sexes who were prepared for
optional open umbilical hernia repair. Before beginning of the surgical procedure,
they received either bilateral US-guided ES block (group E) or bilateral ultrasonicguided OSTAP block (group T). The primary outcome of our trial was the total
morphine intake during the first 24h postoperatively.
Results
The total amount of morphine consumed (mg) within the first 24h following
the procedure was statistically substantially less in group E than in group T
(P0.1). Regarding verbal numerical rating scores when compared between the
two groups at rest and cough, it was statistically significant lower at 30min, 2h, and
4h (P