Abstract

The Transversus Abdominis Plane (TAP) Block is a technique employed for the administration of regional anesthesia. It provides pain relief during surgical procedures involving the lower abdomen, particularly when pain originating from the parietal wall is a notable cause of discomfort. By administering a local anesthetic between the Transversus Abdominis muscle and internal oblique muscle, it enables the sensory blockade of the skin and muscles in the lower abdominal wall. We conducted a prospective observational study in a hospital setting to evaluate the efficacy of unilateral Transversus Abdominis Plane (TAP) Block using bupivacaine for postoperative pain management in hernia repair procedures. Material & Methods - A total of 80 patients undergoing elective abdominal surgery including LSCS were included in this study. The patients were divided into two groups: the study group (n = 40) received a TAP Block with bupivacaine, while the control group (n = 40) did not receive a TAP Block. Following the completion of the surgical procedure facilitated by spinal anesthesia, the participants of the study were subjected to a unilateral Transversus Abdominis Plane (TAP) Block on the side of the surgery. This was achieved by administering 20 ml of 0.25% bupivacaine. In the post-anesthesia care unit, a comprehensive assessment was conducted on each patient at specific time intervals following their surgical procedure, namely at 30 minutes, 2 hours, 4 hours, 6 hours, 12 hours, 18 hours, and 24 hours. In each group, the administration time for the initial dose of rescue analgesia, the vas score, and the total quantity of diclofenac utilized were assessed, and a student t-test was employed to make comparisons

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