Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt
 Research   
                                        
                                                                                Transversus abdominis block; direct visualization vs. ultrasound guided for post-operative cesarean section pain 
                                                                                Author(s): Mohamed A. Ali*, Khaled H. Swedan, Mohamed S. Sweed, Hanan M. Ali and Rania H. Mostafa             
                                        
                                                                                
                                 Background: The transverse  abdominis plane (TAP) block provides effective analgesia after lower abdominal  surgeries including cesarean section (CS). TAP block can be performed under  ultrasound guidance (US-TAP) or under direct visualization (DV-TAP).
Aim: To compare  analgesia-efficacy between US-TAP vs. DV-TAP
Patients and methods: Forty women who  attended Ain Shams University Maternity Hospital for elective CS were randomly  divided into 2 groups; DV-TAP (n=20) and US-TAP (n=20).
Results: Both groups showed a  similar analgesics-use during first postoperative 24 and 48 hours. DV-TAP  showed lower pain score than US-TAP; it was significant; immediately,  postoperative 6 and 24 hours, and non-significant postoperative 12 hours.  Incidence of complications were the same between the .. Read More»