EVALUATION OF THE ANALGESIC EFFECTIVENESS OF ULTRASOUND-GUIDED TRANSVERSALIS FASCIA PLANE (TFP) BLOCK IN LAPAROSCOPIC MESH REPAIR OF INGUINAL HERNIA
Main Article Content
Abstract
Objective:To evaluate the analgesic effect of unilateral ultrasound-guided transversalis fascia plane (TFP) block using 0.25% ropivacaine during laparoscopic mesh repair for inguinal hernia.
Methods: A randomized controlled clinical trial was conducted on 64 patients from March 2025 to September 2025 at Hanoi Medical University Hospital. Patients were divided into two groups: Group 1 (received TFP block) and Group 2 (control group, no block). The monitored parameters included ANIm index, heart rate, blood pressure, and intraoperative fentanyl consumption.
Results:The TFP block group showed significantly higher ANIm values at all time points following skin incision compared to the control group (p < 0.001). The mean total fentanyl consumption was significantly lower in the TFP group (2.16 mcg/kg vs. 4.04 mcg/kg; p < 0.01). The mean onset time of TFP block was 4.31 ± 1.09 minutes.
Conclusion: Ultrasound-guided TFP block is an effective, safe, and feasible method for intraoperative analgesia in laparoscopic hernia repair.
Article Details
Keywords
Transversalis fascia plane block, TFP block, inguinal hernia, laparoscopic surgery, analgesia, ultrasound
References
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