الفهرس | Only 14 pages are availabe for public view |
Abstract Summary The main cause of postoperative pain after abdominal surgeries is the abdominal wall incision. Injection of local anaesthetics into the fascial planes will result in block the nerves of anterior abdominal wall before they pierce the musculature to innervate the abdomen wall. The most important advantage of peripheral nerve block technique is early mobility, Excellent analgesia and minimal motor block. This leads to major benefits such as reduced potential for deep vein thrombosis and pulmonary embolus, reduced incidence of atelectasis and respiratory infection, and minimal motor blocking. The purpose of this study was to compare between postoperative analgesic effect of transverses abdominus plane block and rectus sheath block in total abdominal hystrectomy. This study was carried out on females ASA I or II presented for elective total abdominal hystrectomy in Tanta University Hospital at Obstetrics and Gynecology department. Patients were randomly classified using sealed envelope into two equal groups each of 30 patients. Induction of general anaesthsia was done in both groups then the patients in group I received RS block with 40ml bupivacaine 0.25% (20 ml each side) before the end of surgery and In group II, the patients received TAP block with 40ml bupivacaine 0.25% (20 ml each side) before the end of surgery. In this study, we compared changes in Heart rate, mean arterial blood pressure, Postoperative pain and analgesic |