<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Background</h3>
<p>Postoperative pain management is an important aspect of anesthesia care and multimodal analgesic techniques are generally recommended.</p>
</sec>
<sec><h3>Objective</h3>
<p>To compare the effect of spinal anesthesia + transversus abdominis plane (TAP) block application on postoperative analgesia quality and patient satisfaction with spinal anesthesia + intrathecal morphine (ITM) application.</p>
</sec>
<sec><h3>Methods</h3>
<p>A total of 70 patients were randomly separated into 2 groups as spinal anesthesia + TAP block (TAP block group, n = 34) and spinal anesthesia + ITM group (ITM group, n = 36). The groups were compared in respect of age, body mass index values, and visual analog scale (VAS) values at 0 h, 2 h, 6 h, 12 h, and 18 h, and patient satisfaction was scored by Quality Improvement in Postoperative Pain Management at 24 h.</p>
</sec>
<sec><h3>Results</h3>
<p>The mean age of the patients was 32.52 ± 6.50 years in the TAP block group and 30.11 ± 5.62 years in the ITM group, with no statistically significant difference determined. There was no statistically significant difference in terms of VAS values at 0 h, 2 h, 6 h, 12 h, and 18 h. When the factors affecting postoperative patient satisfaction were evaluated, feeling fatigue after the surgery (r = −0.811, <italic>P</italic> = 0.001) and postoperative complications such as nausea, vomiting, and itching (r = −0.831, <italic>P</italic> = 0.001) were found to have a negative effect on patient satisfaction.</p>
</sec>
<sec><h3>Conclusion</h3>
<p>Due to low complication rates, TAP block is an effective application for postoperative analgesia management in varicocele operations that increases patient satisfaction postoperatively.</p>
</sec>
</abstract>

Background
Postoperative pain management is an important aspect of anesthesia care and multimodal analgesic techniques are generally recommended.

Objective
To compare the effect of spinal anesthesia + transversus abdominis plane (TAP) block application on postoperative analgesia quality and patient satisfaction with spinal anesthesia + intrathecal morphine (ITM) application.

Methods
A total of 70 patients were randomly separated into 2 groups as spinal anesthesia + TAP block (TAP block group, n = 34) and spinal anesthesia + ITM group (ITM group, n = 36). The groups were compared in respect of age, body mass index values, and visual analog scale (VAS) values at 0 h, 2 h, 6 h, 12 h, and 18 h, and patient satisfaction was scored by Quality Improvement in Postoperative Pain Management at 24 h.

Results
The mean age of the patients was 32.52 ± 6.50 years in the TAP block group and 30.11 ± 5.62 years in the ITM group, with no statistically significant difference determined. There was no statistically significant difference in terms of VAS values at 0 h, 2 h, 6 h, 12 h, and 18 h. When the factors affecting postoperative patient satisfaction were evaluated, feeling fatigue after the surgery (r = −0.811, P = 0.001) and postoperative complications such as nausea, vomiting, and itching (r = −0.831, P = 0.001) were found to have a negative effect on patient satisfaction.

Conclusion
Due to low complication rates, TAP block is an effective application for postoperative analgesia management in varicocele operations that increases patient satisfaction postoperatively.

The effect of transversus abdominis plane block application on postoperative analgesia quality and patient satisfaction after varicocele surgery: a randomized clinical trial

Department of Anesthesiology and Reanimation

Sütçü Imam University School of Medicine

Harran University School of Medicine, Şanlıurfa

Asian Biomedicine

This work is licensed under the Creative Commons Attribution 4.0 International License.

Background
Postoperative pain management is an important aspect of anesthesia care and multimodal analgesic techniques are generally recommended.

Objective
To...

	TAP block group (n = 34)	ITM group (n = 36)	P
Age (years)	32.52 ± 6.50	30.11 ± 5.62	0.105
BMI (kg/m²)	26.73 ± 3.96	23.11 ± −2.74	0.148
Operative time (min)	94.86 ± 38.27	82.79 ± 35.10	0.174
ASA Score
1	16 (23.2%)	13 (18.9%)	0.213
2	17 (24.6%)	23 (33.3%)
Side
Right	0 (0.0%)	1 (1.45%)	0.584
Left	12 (17.4%)	11 (15.95%)
Bilateral	22 (31.9%)	24 (34.8%)
Rescue analgesia use (pts)	1 (1.45%)	1 (1.45%)	0.739
Postoperative mean pain	2.24 ± 0.71	2.27 ± 0.70	0.836
Postoperative max. pain	3.00 ± 1.08	2.77 ± 0.68	0.309
Postoperative min. pain	1.21 ± 1.05	1.27 ± 0.56	0.745
Patient satisfaction	12.30 ± 1.13	10.94 ± 3.06	0.019
Complication
Nausea	0	4 (5.8%)	0.023
Itching	0	3 (4.35%)
Nausea	0	2 (2.9%)

The effect of transversus abdominis plane block application on postoperative analgesia quality and patient satisfaction after varicocele surgery: a randomized clinical trial

Article Category: Original article

Publicado en línea: 09 oct 2023

Páginas: 136 - 143

DOI: https://doi.org/10.2478/abm-2023-0053

Palabras clave
intrathecal injections, patient satisfaction, postoperative pain, spinal anesthesia, transversus abdominis plane block

© 2023 Ömer Faruk Boran et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Demographic data of the patients in the TAP block and ITM groups

The effect of transversus abdominis plane block application on postoperative analgesia quality and patient satisfaction after varicocele surgery: a randomized clinical trial

Article Category: Original article

Publicado en línea: 09 oct 2023

Páginas: 136 - 143

DOI: https://doi.org/10.2478/abm-2023-0053

Palabras claveintrathecal injections, patient satisfaction, postoperative pain, spinal anesthesia, transversus abdominis plane block

© 2023 Ömer Faruk Boran et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Demographic data of the patients in the TAP block and ITM groups

Palabras clave
intrathecal injections, patient satisfaction, postoperative pain, spinal anesthesia, transversus abdominis plane block