PMID- 38185619
OWN - NLM
STAT- MEDLINE
DCOM- 20240402
LR  - 20240403
IS  - 2005-7563 (Electronic)
IS  - 2005-6419 (Print)
IS  - 2005-6419 (Linking)
VI  - 77
IP  - 2
DP  - 2024 Apr
TI  - Comparison of the analgesic efficacy of the ultrasound-guided transversalis 
      fascia plane block and erector spinae plane block in patients undergoing open 
      inguinal hernia repair under spinal anesthesia.
PG  - 255-264
LID - 10.4097/kja.23404 [doi]
AB  - BACKGROUND: Open inguinal hernia repair (OIHR) surgery is a common surgical 
      procedure, and ultrasound guided interfascial plane blocks can also be included 
      in current approaches to postoperative multimodal analgesia regimens. This study 
      aimed to compare the postoperative analgesic efficacy of the erector spinae plane 
      block (ESPB) and transversalis fascia plane block (TFPB) in patients undergoing 
      OIHR. METHODS: This prospective, randomized, assessor-blinded comparative study 
      was conducted in the postoperative recovery room and ward of a tertiary hospital. 
      A total of 80 patients with American Society of Anesthesiologists physical status 
      I-III were enrolled and allocated equally to either the ESPB or TFPB group. The 
      patients received standard multimodal analgesia in addition to an 
      ultrasound-guided ESPB or TFPB. During the first 24 h postoperatively, tramadol 
      consumption was assessed and pain levels at rest and during movement were 
      compared using numeric rating scale (NRS) scores at 1, 3, 6, 9, 12, 18, and 24 h 
      postoperatively. RESULTS: The results showed no difference in NRS scores at any 
      time point between the groups, except for NRS at rest in the third hour. However, 
      tramadol consumption was lower in the TFPB group than in the ESPB group overall 
      (88 +/- 75.2 vs. 131 +/- 93.7 mg, respectively; P = 0.027, mean difference: -43, 95% 
      CI [-80.82, -5.18]). CONCLUSIONS: The TFPB leads to lower tramadol requirements 
      in the first 24 h postoperatively than the ESPB in patients undergoing OIHR.
FAU - Celik, Hale Kefeli
AU  - Celik HK
AD  - Department of Anesthesiology and Reanimation, Samsun University Faculty of 
      Medicine, Samsun Training and Research Hospital, Samsun, Turkey.
FAU - Tulgar, Serkan
AU  - Tulgar S
AD  - Department of Anesthesiology and Reanimation, Samsun University Faculty of 
      Medicine, Samsun Training and Research Hospital, Samsun, Turkey.
FAU - Buk, Omer Faruk
AU  - Buk OF
AD  - Department of General Surgery, Samsun University Faculty of Medicine, Samsun 
      Training and Research Hospital, Samsun, Turkey.
FAU - Koc, Kadem
AU  - Koc K
AD  - Department of Anesthesiology and Reanimation, Samsun University Faculty of 
      Medicine, Samsun Training and Research Hospital, Samsun, Turkey.
FAU - Unal, Murat
AU  - Unal M
AD  - Department of Anesthesiology and Reanimation, Samsun University Faculty of 
      Medicine, Samsun Training and Research Hospital, Samsun, Turkey.
FAU - Genc, Caner
AU  - Genc C
AD  - Department of Anesthesiology and Reanimation, Samsun University Faculty of 
      Medicine, Samsun Training and Research Hospital, Samsun, Turkey.
FAU - Suren, Mustafa
AU  - Suren M
AD  - Department of Anesthesiology and Reanimation, Samsun University Faculty of 
      Medicine, Samsun Training and Research Hospital, Samsun, Turkey.
LA  - eng
GR  - EHK/2022-97/Samsun Research and Education Hospital/
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20240108
PL  - Korea (South)
TA  - Korean J Anesthesiol
JT  - Korean journal of anesthesiology
JID - 101502451
RN  - 39J1LGJ30J (Tramadol)
RN  - 0 (Analgesics)
SB  - IM
MH  - Humans
MH  - *Hernia, Inguinal/surgery
MH  - *Tramadol
MH  - *Anesthesia, Spinal
MH  - Pain, Postoperative/prevention & control
MH  - Prospective Studies
MH  - Ultrasonography, Interventional/methods
MH  - Analgesics
MH  - *Nerve Block/methods
MH  - Fascia
PMC - PMC10982532
OTO - NOTNLM
OT  - Analgesia
OT  - Chronic pain
OT  - Herniorrhaphy
OT  - Inguinal hernia
OT  - Nerve block
OT  - Regional anesthesia
OT  - Ultrasonography.
COIS- Conflicts of Interest No potential conflict of interest relevant to this article 
      was reported.
EDAT- 2024/01/08 00:42
MHDA- 2024/04/02 06:45
PMCR- 2024/04/01
CRDT- 2024/01/07 23:01
PHST- 2023/05/22 00:00 [received]
PHST- 2024/01/07 00:00 [accepted]
PHST- 2024/04/02 06:45 [medline]
PHST- 2024/01/08 00:42 [pubmed]
PHST- 2024/01/07 23:01 [entrez]
PHST- 2024/04/01 00:00 [pmc-release]
AID - kja.23404 [pii]
AID - kja-23404 [pii]
AID - 10.4097/kja.23404 [doi]
PST - ppublish
SO  - Korean J Anesthesiol. 2024 Apr;77(2):255-264. doi: 10.4097/kja.23404. Epub 2024 
      Jan 8.