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Fouad AZ, Abdel-Aal IRM, Gadelrab MRMA, et al. Ultrasound-guided transversalis fascia plane block . Korean J Pain. 2021;34(2):201-209doi: 10.3344/kjp.2021.34.2.201.
Fouad, A. Z., Abdel-Aal, I. R. M., Gadelrab, M. R. M. A., & Mohammed, H. M. E. S. (2021). Ultrasound-guided transversalis fascia plane block . The Korean journal of pain, 34(2), 201-209. https://doi.org/10.3344/kjp.2021.34.2.201
Fouad, Ahmed Zaghloul, et al. "Ultrasound-guided transversalis fascia plane block ." The Korean journal of pain vol. 34,2 (2021): 201-209. doi: https://doi.org/10.3344/kjp.2021.34.2.201
Fouad AZ, Abdel-Aal IRM, Gadelrab MRMA, Mohammed HMES. Ultrasound-guided transversalis fascia plane block . Korean J Pain. 2021 Apr 01;34(2):201-209. doi: 10.3344/kjp.2021.34.2.201. PMID: 33785672; PMCID: PMC8019963.
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Korean J Pain. 2021 Apr 01;34(2):201-209. doi: 10.3344/kjp.2021.34.2.201.

Ultrasound-guided transversalis fascia plane block .

The Korean journal of pain

Ahmed Zaghloul Fouad, Iman Riad M Abdel-Aal, Mohamed Rabie Mohamed Ali Gadelrab, Hany Mohammed El-Hadi Shoukat Mohammed

Affiliations

  1. Department of Anesthesia, Surgical Intensive Care and Pain Management, Cairo University, Cairo, Egypt.
  2. Department of Anesthesia, Agouza Police Hospital, Giza, Egypt.

PMID: 33785672 PMCID: PMC8019963 DOI: 10.3344/kjp.2021.34.2.201

Abstract

BACKGROUND: Inguinal hernia repair is one of the most commonly performed surgical procedures. Regional blocks might provide excellent analgesia and reduce complications in the postoperative period. We aimed to compare the postoperative analgesic effect of the ultrasound-guided transversalis fascia (TF) plane block versus the transmuscular quadratus lumborum (QL) block in patients undergoing unilateral inguinal hernia repair.

METHODS: Fifty patients enrolled in this comparative study and were randomly assigned into two equal groups. One group received an ultrasound-guided QL block. In comparison, the other group received an ultrasound-guided TF plane block. The primary outcome was the patient-assessed resting, and movement-induced pain on the numeric pain rating scale (NRS) measured at 30 minutes postoperatively. Secondary outcomes included the percentage of patients receiving rescue analgesia in the first postoperative day, ease of performance of the technique, and incidence of adverse effects.

RESULTS: There were no statistically significant differences in NRS at rest and with movement between the groups over the first 24 hours postoperatively. The proportion of patients that received postoperative rescue analgesics during the first 30 minutes postoperatively was 4% (n = 1) in the QL group compared to 12% (n = 3) in the TF group. However, the mean performance time of the TF block was shorter than that of the QL block, and the performance of the TF block appeared easier technically.

CONCLUSIONS: The ultrasound-guided TF plane block could be as effective as the QL block in lowering pain scores and decreasing opioid consumption following non-recurrent inguinal herniorrhaphy.

Keywords: Analgesia; Analgesics, Opioid; Fascia; Hernia, Inguinal; Herniorrhaphy; Nerve Block; Pain Management; Pain, Postoperative; Ultrasonography, Interventional

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