Is TAP Block with 0.25% Bupivacaine Superior to Local Infiltration with 0.25% Bupivacaine for Postoperative Analgesia in Lower Abdominal Surgeries: A Comparative study

Abstract

Background: The comprehensive treatment of patients following any surgery must include adequate postoperative analgesia. A shorter hospital stay and higher patient satisfaction are related to effective pain treatment. Several regional analgesic approaches are now in use.

Methodology: In this study, 90 patients were enrolled, and they were equally split into two groups of 45 patients each. A local infiltration of 0.25% bupivacaine was applied to the surgical incision in one group while TAP block was administered to the second group. The study comprised patients with an ASA grade of I or II, of either gender, between the ages of 18 and 65. Any unfavorable occurrences or hemodynamic instability were noted.

Results: Patients who underwent a TAP block using 0.25% Bupivacaine had considerably lower pain scores in the second, fourth, twelfth-, and twenty-fourth hours following surgery. No procedure-related major adverse events were recorded. The hemodynamic parameters in the two groups did not significantly differ from one another.

Conclusion: Lower abdominal surgery patients may find that a TAP block using 0.25% Bupivacaine is an effective postoperative pain control method.