loading page

Evaluation of the postoperative analgesic efficiency of the transversus abdominis plan block and the caudal epidural block ın children after circumcision: a prospective observational study
  • MEHMET MUTLU,
  • seray turkmen,
  • Bulent Barıs Guven
MEHMET MUTLU
Okmeydani Training and Research Hospital
Author Profile
seray turkmen
Okmeydani Training and Research Hospital
Author Profile
Bulent Barıs Guven
University of Health Sciences Turkey, Sultan 2. Abdulhamid Han Training and Research Hospital

Corresponding Author:[email protected]

Author Profile

Abstract

Background: Circumcision is one of the most common operations and it causes serious postoperative pain, fear, and anxiety for children. This study aims to compare the effects of transversus abdominis plane (TAP) block and caudal epidural (CE) anesthesia on postoperative analgesia after circumcision in providing postoperative pain control. Methods: Eighty male children who underwent elective circumcision surgery under general anesthesia either with USG-guided TAP block or with CE block for postoperative analgesia were enrolled consecutively to this prospective observational study equally in each group. Postoperative pain scores and need for rescue analgesia were recorded and compared between the two groups. Results: There was no statistically significant difference between the groups in terms of mean age and Aldrete scores (p > 0.05). The BMI values of the caudal block group were found to be statistically significantly lower than the TAP group (p < 0.05). While there was no statistically significant difference between the groups in terms of 30th-minute VAS values (p> 0.05), but the CE block group’s 1st, 2nd, 4th 8th, 12th, 18th, and 24th hours VAS values were statistically significantly lower than the TAP block group (p <0.05). Conclusion: In this study, our data analysis showed us that; the USG-guided TAB block under general anesthesia is not associated with lower postoperative pain scores and delayed rescue analgesia need than the CE block in patients who underwent elective circumcision surgery. CE block provided superior analgesia than the USG-guided TAP block after male elective circumcision surgery in this study.