{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T10:06:00Z","timestamp":1744106760533},"reference-count":0,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p> Background: The transverses abdominals plane block (TAP) is a regional anesthesia technique that provided analgesia to the parietal peritoneum, skin and muscles of the anterior abdominal wall. The aim of this randomized double-blind study was to evaluate postoperative analgesia on patients undergoing open inguinal hernia repair under general anesthesia (GA), (GA + TAP) block preformed with ropivacaine and (GA + TAP-D) block preformed with ropivacaine and 4 mg dexamethasone. <\/jats:p>\n               <jats:p>Methods: 90 (ASA I-II) adult patients for unilateral open inguinal hernia repair were included in this study. In group I (n = 30) patents received only general anesthesia (GA). Patients in group II (n = 30) received GA and unilateral TAP block with 25 ml of 0.5% ropivacaine and the patients in group III (n = 30) received GA and unilateral TAP-D block with 25 ml of 0.5% ropivacaine + 4 mg Dexamethadsone. In this study we assessed the pain score - VAS at rest at 2, 4, 6, 12 and 24 hours after the operation and the total analgesic consumption of morphine over 24 hours. <\/jats:p>\n               <jats:p>Results: There were statistically significant differences in the VAS scores between group I, group II and group III at all postoperative time points - 2<jats:sup>hr<\/jats:sup>, 4<jats:sup>hr<\/jats:sup>, 6<jats:sup>hr<\/jats:sup>, 12<jats:sup>hr<\/jats:sup> and 24<jats:sup>hr<\/jats:sup>. (p &lt; 0.00001). The cumulative 24 hours morphine consumption after the operation was significantly lower in group III (5.53 1.21 mg) than in group II (6.16 2.41 mg) and group I (9.26 2.41 mg). This difference is statistically significant (p &lt; 0.00001). <\/jats:p>\n               <jats:p>Conclusion: Concerning the inguinal hernia repair we found better postoperative pain scores and 24 hours reduction of the morphine consumption in group III (GA and TAP-D block) compared with group I (GA) and group II (GA + TAP block).<\/jats:p>","DOI":"10.1515\/prilozi-2015-0076","type":"journal-article","created":{"date-parts":[[2016,6,10]],"date-time":"2016-06-10T10:17:45Z","timestamp":1465553865000},"page":"35-41","source":"Crossref","is-referenced-by-count":7,"title":["Effect of Adding Dexamethasone as a Ropivacaine Adjuvant in Ultrasound-Guided Transversus Abdominis Plane Block for Inguinal Hernia Repair"],"prefix":"10.1515","volume":"36","author":[{"given":"Andrijan","family":"Kartalov","sequence":"first","affiliation":[{"name":"Clinic for Anesthesiology, Reanimatology and Intensive Care Unit \u2013 KARIL, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikola","family":"Jankulovski","sequence":"additional","affiliation":[{"name":"Clinic for Abdominal surgery, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biljana","family":"Kuzmanovska","sequence":"additional","affiliation":[{"name":"Clinic for Anesthesiology, Reanimatology and Intensive Care Unit \u2013 KARIL, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milka","family":"Zdravkovska","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences, \u201cGoce Delchev University\u201d, Shtip, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirjana","family":"Shosholcheva","sequence":"additional","affiliation":[{"name":"University Clinic, \u201cSt. Naum Ohridski\u201d, Medical Faculty, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatjana","family":"Spirovska","sequence":"additional","affiliation":[{"name":"Clinic for Anesthesiology, Reanimatology and Intensive Care Unit \u2013 KARIL, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandra Panovska","family":"Petrusheva","sequence":"additional","affiliation":[{"name":"Clinic for Anesthesiology, Reanimatology and Intensive Care Unit \u2013 KARIL, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marija","family":"Tolevska","sequence":"additional","affiliation":[{"name":"Clinic for Anesthesiology, Reanimatology and Intensive Care Unit \u2013 KARIL, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marija","family":"Srceva","sequence":"additional","affiliation":[{"name":"Clinic for Anesthesiology, Reanimatology and Intensive Care Unit \u2013 KARIL, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vesna","family":"Durnev","sequence":"additional","affiliation":[{"name":"Clinic for Anesthesiology, Reanimatology and Intensive Care Unit \u2013 KARIL, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gjorgji","family":"Jota","sequence":"additional","affiliation":[{"name":"Clinic for Abdominal surgery, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Redzep","family":"Selmani","sequence":"additional","affiliation":[{"name":"Clinic for Abdominal surgery, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atanas","family":"Sivevski","sequence":"additional","affiliation":[{"name":"University Clinic for Gynecology and Obstetric, Skopje, R. Macedonia Medical faculty, \u201cSt. Cyril & Methodius\u201d, Skopje, R. Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2016,4,14]]},"container-title":["PRILOZI"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/content.sciendo.com\/view\/journals\/prilozi\/36\/3\/article-p35.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.sciendo.com\/article\/10.1515\/prilozi-2015-0076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T22:18:53Z","timestamp":1617920333000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.sciendo.com\/article\/10.1515\/prilozi-2015-0076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,1]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2016,4,14]]},"published-print":{"date-parts":[[2015,12,1]]}},"alternative-id":["10.1515\/prilozi-2015-0076"],"URL":"https:\/\/doi.org\/10.1515\/prilozi-2015-0076","relation":{},"ISSN":["1857-8985","1857-9345"],"issn-type":[{"value":"1857-8985","type":"electronic"},{"value":"1857-9345","type":"print"}],"subject":[],"published":{"date-parts":[[2015,12,1]]}}}