The analgesic efficacy of ultrasound-guided transversus abdominis plane block on postoperative pain and morphine consumption in varicocelectomy

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dc.authoridAlan, Cabir/0000-0002-6024-4475
dc.authoridHanci, Volkan/0000-0002-2227-194X
dc.contributor.authorOmur, Dilek
dc.contributor.authorOguzalp, Huseyin
dc.contributor.authorKiraz, Hasan A.
dc.contributor.authorEkin, Serpil
dc.contributor.authorAlan, Cabir
dc.contributor.authorErsay, Ahmet R.
dc.contributor.authorHanci, Volkan
dc.date.accessioned2025-01-27T20:43:37Z
dc.date.available2025-01-27T20:43:37Z
dc.date.issued2016
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjectives: To evaluate the analgesic effect of transversus abdominis plane (TAP) block administered before varicocele surgery. Methods: This study was completed at the Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey, between January 2011 and April 2013. In a prospective, double blind, randomized, placebo controlled clinical study, 40 male patients scheduled for elective varicocele operations were randomized to group T (treatment group) or group C (controls). After receiving general anesthesia, group T received a TAP block using 20 mL 0.25% bupivacaine on the operation side, whereas group C received a control block using 20 mL 0.9% Sodium chloride. During the first 24 hours after surgery, the patient pain was evaluated using the visual analogue scale (VAS) at rest and while coughing. Postoperative patient controlled analgesia morphine consumption, VAS scores, and side effects were recorded. Results: Of 34 patients, Group T (n=18) had significantly lower VAS pain scores than Group C (n=16) both at rest and while coughing. The total morphine consumed was lower (7.7 +/- 4.0) versus 21.6 +/- 12.4 mg, p<0.001) in the 24 hours after surgery. Conclusion: As part of a multimodal analgesic regime after varicocelectomy surgery, morphine consumption and VAS pain scores were significantly lower among those receiving 20 mL 0.25% bupivacaine administered for a TAP block than among controls.
dc.identifier.doi10.15537/smj.2016.6.14332
dc.identifier.endpage655
dc.identifier.issn0379-5284
dc.identifier.issn1658-3175
dc.identifier.issue6
dc.identifier.pmid27279511
dc.identifier.scopus2-s2.0-84973892582
dc.identifier.scopusqualityQ2
dc.identifier.startpage648
dc.identifier.urihttps://doi.org/10.15537/smj.2016.6.14332
dc.identifier.urihttps://hdl.handle.net/20.500.12428/24300
dc.identifier.volume37
dc.identifier.wosWOS:000387912300007
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSaudi Med J
dc.relation.ispartofSaudi Medical Journal
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectLiver Trauma
dc.subjectHigh-Risk
dc.subjectAnesthesia
dc.subjectPatient
dc.titleThe analgesic efficacy of ultrasound-guided transversus abdominis plane block on postoperative pain and morphine consumption in varicocelectomy
dc.typeArticle

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