Alt abdominal cerrahi sonrası gelişen kronik ağrı tedavisinde ultrason eşliğinde transversus abdominis plan (TAP) bloğunun etkinliğinin değerlendirilmesi

Amaç: Calışmamızda alt abdominal cerrahi sonrası gelişen kronik ağrı tanısı konulan hastalarda ultrason rehberliğinde transversus abdominis plan bloğunun etkinliğinin değerlendirilmesi amaçlanmıştır. Metod: 1 Ocak 2016-1 Ocak 2020 tarihleri arasında ağrı polikliniğine başvuran ve alt abdominal cerrahi sonrası kronik ağrı tanısı ile TAP blok uygulanan hastalar geriye dönük olarak incelendi. Hastaların işlem öncesi, işlem sonrası 1.ay ve 3. Ay Vizüel analog skala (VAS) değerleri karşılaştırıldı. Bulgular: TAP blok uygulaması sonrası VAS skorlarında >%50 azalma olan hastaların oranı 1 aylık takipte %50 ve 3 aylık takipte %72,5 idi. VAS skorlarındaki değişiklikler istatistiksel olarak anlamlı bulundu (p

Anahtar Kelimeler:

kronik postoperatif ağrı, abdominal duvar, ağrı tedavisi

Evaluation of the effectiveness of ultrasound-guided transversus abdominis plane (TAP) block for chronic pain after lower abdominal surgery

Aim: This study aimed to evaluate the effectiveness of ultrasound-guided transversus abdominis plane (TAP) block in patients diagnosed with chronic pain after undergoing lower abdominal surgery. Methods: Patients who were admitted to the pain medicine clinic between January 1, 2016, and January 1, 2020, and underwent TAP block with the diagnosis of chronic pain after undergoing lower abdominal surgery were retrospectively analyzed. The visual analog scale (VAS) score was measured before the procedure and at the 1-month and 3-month follow-ups. Results: The proportion of patients with a reduction in VAS scores of >50% after TAP block application was 50% at the 1-month follow-up and 72.5% at the 3-month follow-up. The changes in the VAS score was found to be statistically significant (p

Keywords:

Chronic postoperative pain, abdominal wall, Pain Management,

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