{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:44:03Z","timestamp":1792806243574,"version":"4.5.0"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Ultrasound-guided transversalis fascia plane block (USG-guided TFPB) has recently been evaluated for post-caesarean acute pain management. We compared it with standard wound infiltration for both acute and chronic post-caesarean pain management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All patients undergoing caesarean section (CS) under subarachnoid block were included and randomised. Patients in group C received standard wound infiltration (20 ml of 0.375% ropivacaine) and group-T received bilateral USG-guided TFPB (20 ml of 0.375% ropivacaine) at the end of the surgery. Acute pain assessed using numeric rating scale (NRS), time to first request of analgesia and total rescue analgesic consumption in 24 hours. The incidence of chronic persistent post-surgical pain (CPSP), neuropathic pain component and quality of life (QoL) were assessed. Fisher\u2019s exact test, Chi-square test, unpaired Student\u2019s t-test and Mann-Whitney U test were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Sixty patients were included with 30 in each group. NRS score on rest at 6\n                      <jats:sup>th<\/jats:sup>\n                      and 24\n                      <jats:sup>th<\/jats:sup>\n                      hour and on active movement at 1\n                      <jats:sup>st<\/jats:sup>\n                      hour was significantly decreased in group T. The \u201ctime to first request of analgesia\u201d was statistically higher in group T, that is, 10.77 \u00b1 1.39 h versus 6.30 \u00b1 1.60 h. Five (16.6%) and two (6.6%) patients in groups C and T, respectively, required rescue analgesia in first 24 hours. 30% (n = 6) and 10% (n = 2) patients in groups C and T, respectively, developed CPSP. The neuropathic pain component was significantly reduced and QoL was significantly improved in group T.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TFPB is efficacious for management of both acute and chronic post-caesarean pain management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_173_22","type":"journal-article","created":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T11:23:45Z","timestamp":1658402625000},"page":"517-522","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":17,"title":["Ultrasound-guided transversalis fascia plane block versus wound infiltration for both acute and chronic post-caesarean pain management \u2013 A randomised controlled trial"],"prefix":"10.4103","volume":"66","author":[{"given":"Geetanjali T","family":"Chilkoti","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diksha","family":"Gaur","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok K","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anju","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology & Critical Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachna","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sapna","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,7,22]]},"reference":[{"key":"R1-20260327","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1186\/s12871-016-0270-6","article-title":"Prevalence and risk factors for chronic pain following cesarean section:A prospective study","volume":"16","author":"Jin","year":"2016","journal-title":"BMC 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caesarean section","volume":"65","author":"Kanta","year":"2021","journal-title":"Indian J Anaesth"},{"key":"R14-20260327","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1007\/s12630-012-9729-1","article-title":"Transversus abdominis plane block for analgesia after cesarean delivery:A systematic review and meta-analysis","volume":"59","author":"Mishriky","year":"2012","journal-title":"Can J Anaesth"},{"key":"R15-20260327","doi-asserted-by":"crossref","first-page":"820","DOI":"10.4103\/ija.IJA_61_19","article-title":"Comparison of transversus abdominis plane block and quadratus lumborum block for post-caesarean section analgesia:A randomised clinical trial","volume":"63","author":"Verma","year":"2019","journal-title":"Indian J Anaesth"},{"key":"R16-20260327","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1097\/00002508-200301000-00006","article-title":"A review of chronic pain after inguinal 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