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New advancement in analgesic strategy for better pain management after hernia surgery

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Created On: 18/01/2020

New advancement in analgesic strategy for better pain management after hernia surgery

What's new?

Subarachnoid block when used in combination with continuous transverse abdominis plane block, is effective in reducing postoperative pain after inguinal hernioplasty.

As per a recently published randomized controlled observer-blinded study in the Journal of Regional Anesthesia & Pain Medicine, a subarachnoid block along with continuous postoperative analgesia through a transverse abdominis plane catheter controls pain and enhances function outcomes in better ways in six months after the inguinal hernioplasty.

A total of 72 consecutive patients were selected and categorized into three classes: subarachnoid block combined with a continuous transverse abdominis plane block (group TAP), general anaesthesia alone (group GA), and subarachnoid block alone (group SAB). An adapted Core Outcome Measures Index called COMI-hernia, was made for hernia patients and used to assess pain and functional outcomes scores before and six months following the surgery. At first 72 hours before the treatment, pain at rest and five different activities was measured using the numerical rating scale.

Following six months after the surgery, the patients of the TAP group exhibited lower COMI-hernia score as compared to the other two groups. The pain during activities and rest was also found lower in the patients receiving TAP. This explains that the TAP provides better outcomes as compared to other approaches.

Source:

Regional Anesthesia & Pain Medicine

Link:

https://www.ncbi.nlm.nih.gov/pubmed/30700617

Article:

Subarachnoid block with continuous TAP catheter analgesia produces less chronic pain and better functional outcome after inguinal hernioplasty: a randomized controlled observer-blinded study.