Comparative Study between Different Techniques of Abdominal Wall Blocks and Their Effect on Postoperative Pain Relief in Patients Undergoing Laparotomy Using Ultra-Sound

Background: Pain after abdominal surgery is derived from the abdominal wall incision. Several approaches developed to provide post-operative analgesia after abdominal incision via blockage of the sensory nerve supply to the anterior abdominal wall.Subjects and Methods: Twenty eight adult patients undergoing laparotomy were randomized into two equal groups. Those in Group A received combined TAPB TFPB and those in Group B received TAPB alone. VAS done postoperative at rest and at movement, extra analgesic requirments and complications recorded.Conclusion: Our study demonstrates that real time ultra-sound guided combined TAP and TFP block provides additional benefit to multimodal analgesia in adults undergoing laparotomy. The patients who received combined TAP and TFP block required less intraoperative analgesic requirements, as well as postoperative rescue analgesia than patients who received TAP block alone.