الفهرس 
TRANSVERSUS ABDOMINIS PLANE BLOCK (TAP- BLOCK)Only 14 pages are availabe for public view
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Abstract
Background: Most of the pain experienced by patients after abdominal surgery is derived from the abdominal wall incision. There are three layers of abdominal wall, i.e. the external oblique, internal oblique, and transversus abdominis and their associated fascial sheaths. The muscular wall is innervated by nerve afferents that course through the transversus abdominis neurofascial plane. Blockade of these nerve afferents via abdominal field blocks is limited, and the degree of block achieved could be unpredictable. TAP block has a definite role in multimodal analgesia following Cesarean section. TAP block reduces the somatic component of postoperative pain and hence has better analgesic effect.
Aim of the Work: To determine whether intraoperative TAP (transverse abdominis plane) block (I-TAP) will provide good analgesia and decrease the need for opioids without increasing pain scores.
Subjects and Methods: A controlled clinical trial on 100 women who underwent elective caesarean section distributed into 2 groups each is 50 women. group A(control group): was given diclofenac sodium 75mg and prescribed intramuscular pethidine (50 mg) as required. group B: same as control group plus the adoption of an intra‐abdominal approach to an established anesthetic block.
Conclusion: TAP block reduced the VAS pain scores significantly both at rest and during stressors. As a result, narcotics consumption was significantly reduced in the TAP block group.