Abstract
IntroductionAround the world, inguinal hernia repair is one of the most frequent surgical interventions and is associated with moderate to severe postoperative pain. TAP (Transversus Abdominis Plane) block appears to be a useful tool to reduce the morbidity associated with pain in inguinal hernia repair. ObjectiveTo evaluate the analgesic effect of a TAP block in patients scheduled for primary inguinal hernia repair, one hour and 24-hour post-surgery. Materials and methodsRandomized controlled trial. Forty five patients were randomized to receive placebo vs TAP block. Clinical, surgical and anesthetic variables were analyzed. The primary outcome was pain in the first hour and the secondary outcome was pain during the first 24hours, opiate use and side effects. ResultsThe acute postoperative pain score during the first hour in the control group was 6 with maximum values of 9 in 22% of patients, whereas in the intervention group the pain score was 2 (SD: 1) (p=0.03). Likewise, pain 24hours postop and opiate consumption was lower in the intervention group than in the control group. ConclusionsTAP block helps to reduce acute postoperative pain and the use of opiates in inguinal hernia repair.
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