COMPARISON OF ANALGESIC EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK VERSUS INFILTRATION OF LOCAL ANAESTHETIC INTO SURGICAL WOUND IN EMERGENCY LAPAROTOMIES

M NASEEM; F QURESHI

doi:10.54112/pjicm.v5i02.120

Authors

M NASEEM Department of Anesthesiology, Hayatabad Medical Complex, Peshawar, Pakistan
F QURESHI Department of Anesthesiology, Hayatabad Medical Complex, Peshawar, Pakistan

DOI:

https://doi.org/10.54112/pjicm.v5i02.120

Keywords:

Transversus Abdominis Plane Block, Local Anesthesia Infiltration, Pain

Abstract

Background: Effective postoperative pain management is critical in improving patient recovery and outcomes after emergency laparotomies. While both transversus abdominis plane (TAP) block and local anaesthetic infiltration (LAI) are used for analgesia, their comparative efficacy in this setting remains under-evaluated. Objective: To compare the analgesic efficacy of TAP block versus LAI into the surgical wound for postoperative pain management in emergency laparotomies. Study Design: Randomized controlled trial. Setting: The Department of Anaesthesia at Hayatabad Medical Complex, Peshawar, Pakistan. Duration of Study: 13-09-2024 to 13-03-2025. Methods: Sixty patients aged 20–60 years undergoing emergency laparotomies were randomly assigned into two equal groups (n = 30 each). Group T received the TAP block, while Group L received the LAI at wound closure. Postoperative pain was assessed at predefined intervals using the visual analogue scale (VAS). Data were analyzed using SPSS version [Insert Version]. Independent samples t-test was applied for continuous variables and chi-square test for categorical variables. A P value ≤ 0.05 was considered statistically significant. Results: The mean age was 37.73 ± 11.61 years in Group T and 39.77 ± 10.98 years in Group L. Group T patients reported a significantly lower mean VAS score (4.03 ± 1.61) compared to Group L (5.73 ± 2.08) (P = 0.001). Conclusion: TAP block was significantly more effective than LAI in reducing postoperative pain in emergency laparotomy patients, as demonstrated by notably lower VAS pain scores.

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