Regional anesthesia

Efficacy of a transversus abdominis plane (TAP) block versus an anterior quadratus lumborum block (QLB) for laparoscopic inguinal hernia repair: A randomised controlled trial

Acta Anaesthesiol ScandPublished Randomised controlled trial

Authors' conclusion

There is no difference in OME consumption, pain, nausea or sedation between the TAP and the anterior QLB.

Study context

Population
Adults undergoing laparoscopic inguinal hernia repair53 completed
Participants
60 adults
Comparison
Preoperative TAP block vs anterior QLB
Primary endpoint
Oral morphine equivalent (OME) consumption
Follow-up
4 h postoperatively
Methodological detailsprospective, double-blind
  • Prospective
  • Double-blind

Primary result

As reported in the abstract

P = 0.713

Secondary outcomes

Pain scores at rest and when coughing · 7 day observation period

Similar in the two groups

Level of sedation and incidence of nausea

Similar in the two groups

Safety

Serious side-effects or ipsilateral thigh muscle weakness

No cases

Original publication

Efficacy of a TAP block versus an anterior QLB for laparoscopic inguinal hernia repair: A randomised controlled trial. Acta Anaesthesiol Scand. Published 1 November 2022. doi:10.1111/aas.14160

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