TO COMPARE THE POSTOPERATIVE ANALGESIC EFFICACY OF LEVOBUPIVACAINE AND ROPIVACAINE USING TRANSVERSUS ABDOMINIS PLANE BLOCK IN PATIENTS UNDERGOING INGUINAL HERNIA SURGERIES

BACKGROUNDTransversus abdominis plane block is a novel approach for postoperative analgesia after abdominal surgeries.The aim of the study was to evaluate the postoperative analgesic efficacy of levobupivacaine and ropivacaine using transversus abdominis plane block after elective inguinal hernia surgeries. MATERIAL AND METHODSNinety adult patients of ASA grade I and II were randomly divided into group L receiving TAP block with 0.25% 20 mL levobupivacaine, group R receiving TAP block with.25% 20 mL ropivacaine and control group receiving NS 20 mL after completion of surgery.All the patients were assessed for post-operative pain and rescue analgesic consumption at 10 min., 30 min., 1 hour, 4 hours, 8 hours, 12 hours and 24 hours' time points. RESULTSPatients receiving TAP block with ropivacaine or levobupivacaine had significantly lower pain scores as compared to control group at 10 min., 30 min., 1 hr., 4 hr., 8 hr., 12 hr.and 24 hr.However, levobupivacaine provided significantly better analgesia as compared to ropivacaine. CONCLUSIONTAP block with levobupivacaine or ropivacaine provides effective analgesia in postoperative period.