الفهرس 
Post-operative painOnly 14 pages are availabe for public view
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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