Articles Vol. 67 No. CĐ2-NCKH 05/03/2026

EVALUATION OF THE ANALGESIC EFFECTIVENESS OF ULTRASOUND-GUIDED TRANSVERSALIS FASCIA PLANE (TFP) BLOCK IN LAPAROSCOPIC MESH REPAIR OF INGUINAL HERNIA

Nguyen Van Nghi1,2, Pham Quang Minh3,4
1 Thai Nguyen University of Medicine and Pharmacy
2 Trường đại học Y Dược – Đại học Thái Nguyên
3 Hanoi Medical University
4 Trường Đại học Y Hà Nội
DOI: 10.52163/yhc.v67iCD2.4456
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Keywords
Transversalis fascia plane block, TFP block, inguinal hernia, laparoscopic surgery, analgesia, ultrasound
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.

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