Bildiri Özetleri

The Effect of Transversus Abdominis Plane Block Application on Postoperative Analgesia Quality and Patient Satisfaction After Varicocele Surgery

Ömer Faruk Boran1, Aykut Urfalıoğlu1, Mahmut Arslan1, Mehmet Fatih Yazar2, Bora Bilal1, Yavuz Orak1, Bülent Katı3

1Kahramanmaraş Şütçü İmam Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
2Kahramanmaraş Şütçü İmam Üniversitesi Tıp Fakültesi Genel Cerrahi Ana Bilim Dalı
3Harran Üniversitesi Tıp Fakültesi Üroloji Ana Bilim Dalı

BACKGROUND AND AIM: In this study, it was aimed to compare the effect of Transversus abdominis plane (TAP) block application on postoperative analgesia quality and patient satisfaction with intrathecal morphine application.

METHODS: Clinical Trials number ( ID: NCT02983383) was also taken before the study.The calculation of sample size was done with G-Power program The effect size-F ratio was estimated as 0.833 based on previous studies and the assumption of equal group numbers. For 90%, statistical power, 5% type I error rate and 90% confidence interval, required sample size was calculated as 32 patients for per group..70 patients were randomized by lottery method and divided into two groups as spinal anesthesia + TAP block (TAP block group, n = 34) and spinal anesthesia + intrathecal morphine group (ITM group, n = 36). Patients' age, BMI values, VAS values at 0,2,6,12,18 hours, and patient satisfaction scored by QUIPS at 24 hours were evaluated.

RESULTS: The mean age of the TAP group was 32.52 ± 6.50 and 30.11 ± 5.62 in ITM group. There was no statistically significant difference between groups. There was no statistically significant difference in terms of visual analogue scale values at 0, 2, 6, 12, 18 hours ( p> 0.05). The patients were evaluated for mean, maximum and minimum pain values at 24 hours postoperatively, which was no difference between the groups (respectively, p = 0.836, p = 0.309, P = 0.745,). There was a significant difference between the groups in terms of patient satisfaction scores (p=0.019). When the factors affecting patient satisfaction were evaluated postoperatively, 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 affect patient satisfaction negatively.

CONCLUSIONS: Due to low complications rates, TAP block is an effective application for postoperative analgesia management in varicocele operations, which increases patient satisfaction postoperatively.

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