Efficacy of transversalis fascia plane block as a novel ındication for varicocelectomy surgery: prospective randomized controlled study

BMC Anesthesiology

Research

Ibrahim Hakki Tor¹  Elif Oral Ahiskalioglu²  Ali Ahiskalioglu²  Ahmet Murat Yayik²  Muhammed Enes Aydin²  Erkan Cem Celik²  Isa Ozbey³ 

[1] Deparment of Anesthesiology and Reanimation, Medical Faculty of University of Health Sciences, Erzurum Regional Training and Research Hospital, Erzurum, Turkey;Medical Faculty of Atatürk University, Deparment of Anesthesiology and Reanimation, Erzurum, Turkey;Clinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, Turkey;Medical Faculty of Atatürk University, Department of Urology, Erzurum, Turkey;

关键词: Varicocelectomy;    Pain;    Analgesia;    Infiltration;    Postoperative;    Anesthesia;   

DOI  :  10.1186/s12871-023-02009-z

 received in 2022-11-09, accepted in 2023-02-03,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundVaricocele occurs as a result of dilatation of the pampiniform plexus in the spermatic veins. In this study, our primary aim was to evaluate the effect of Transversalis Fascia Plane Block (TFPB) on pain scores in the postoperative period in patients undergoing varicocelectomy surgery, and our secondary aim was to evaluate the effect of TFPB on analgesic consumption.MethodsThe study was initiated following local ethics committee approval, and sixty ASA I-II patients > 18y scheduled to undergo varicocelectomy and who consented to participation were enrolled. Before the procedure, the patients were randomly assigned two groups: Transversalis Fascia Plan block group (Group TFPB) or surgical incision site infiltration group (Group I).All surgeries were carried out under general anesthesia, and microsurgery using the subinguinal approach. After surgical suturing, TFPB and local infiltration blocks were applied prior to termination of anesthesia.For each block, 20 mL of 0.25% bupivacaine was utilized. Patients' demographic information, passive and active VAS ratings after surgery, usage of non steroidal anti-inflammatory medications and rescue analgesia, and the requirement for rescue analgesia, were recorded.ResultsA total of 60 patients were included in the study. In terms of demographic data, there was no difference between the groups. At all hours, there was a statistically significant decrease in favor of Group TFPB in terms of active and passive VAS scores (p < 0.001), non steroidal anti-inflammatory analgesic use (p < 0.05), and tramadol requirement (p < 0.001).ConclusionThis study has shown that TFPB can provide a more effective analgesia when compared to surgical site infiltration.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 2