{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:00:05Z","timestamp":1787169605918,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"\n Background and Aims:<\/jats:title>\n Transversus abdominis plane blocks are part of the multimodal analgesia used for lower abdominal surgeries. Our aim of this study was to compare the analgesic efficacy of preincisional and postincisional TAP blocks in patients undergoing total abdominal hysterectomies.<\/jats:p>\n <\/jats:sec>\n \n Material and Methods:<\/jats:title>\n 54 American Society of Anesthesiologists physical status I and II patients aged between 30 and 60 years who underwent a total abdominal hysterectomy under spinal anesthesia in our hospital were chosen for the study. Alternate patients satisfying the inclusion criteria were either given a preincisional or postincisional transversus abdominis plane block bilaterally. Postoperatively, the numeric pain intensity scale was observed, along with nausea, vomiting, and sedation scores.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Pain scores were significantly lower (\n P<\/jats:italic>\n < 0.05) in the preincisional TAP block group from the 2\n nd<\/jats:sup>\n postoperative hour onwards till 12 h, and thereafter it was comparable between both the groups. The total morphine requirement was significantly less in the preincisional TAP group (\n P<\/jats:italic>\n -value 0.001). Also, the mean time to the first request for morphine was significantly longer in patients belonging to the preincisional TAP block group (\n P<\/jats:italic>\n -value of 0.002). There were no significant differences in the sedation scores postoperatively, except at the 4\n th<\/jats:sup>\n hour, where it was significantly higher (\n P<\/jats:italic>\n -value of 0.024) in the postincisional TAP group. Post operative nausea and vomiting was significantly higher and so the dose of the antiemetic used was also observed to be more in the postincisional TAP block group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Preincisional TAP blocks are more effective than postincisional ones with better analgesia and lesser side effects, for total abdominal hysterectomies.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/joacp.joacp_283_19","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T05:47:11Z","timestamp":1635227231000},"page":"406-410","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["A comparison of preincisional and postincisional ultrasound guided transversus abdominis plane block"],"prefix":"10.4103","volume":"37","author":[{"given":"Emy","family":"Ambooken","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Amala Institute Of Medical Sciences, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe John","family":"Chirayath","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Amala Institute Of Medical Sciences, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Raghavan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Amala Institute Of Medical Sciences, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10,12]]},"reference":[{"key":"-20240828","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1097\/00000539-200207000-00028","article-title":"The analgesic effects of intraperitoneal and incisional bupivacaine with epinephrine after total abdominal hysterectomy","volume":"95","author":"Ng","year":"2002","journal-title":"Anesth Analg"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"2056","DOI":"10.1213\/ane.0b013e3181871313","article-title":"The transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy","volume":"107","author":"Carney","year":"2008","journal-title":"Anesth Analg"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"55","DOI":"10.2147\/LRA.S35858","article-title":"Thoracic paravertebral block versus transversus abdominis plane block in major gynecological surgery: A prospective, randomized, controlled, observer-blinded study","volume":"5","author":"Melnikov","year":"2012","journal-title":"Local Reg Anesth"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"77","DOI":"10.4103\/0259-1162.84199","article-title":"Comparative study between effect of pre- versus post-incisional transversus abdominis plane block on acute and chronic post-abdominal hysterectomy pain","volume":"5","author":"Amr","year":"2011","journal-title":"Anesth Essays Res"},{"key":"-20240828","first-page":"11","article-title":"Recent advances in postoperative pain management","volume":"83","author":"Vadivelu","year":"2010","journal-title":"Yale J Biol Med"},{"key":"-20240828","first-page":"399","article-title":"Transversus abdominis plane block: A cadaveric and radiological evaluation","volume":"32","author":"McDonnell","year":"2007","journal-title":"Reg Anesth Pain Med"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"1758","DOI":"10.1213\/ane.0b013e3181853619","article-title":"Transversus abdominis plane block: How safe is it?","volume":"107","author":"Zorica","year":"2008","journal-title":"Anesth Analg"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1177\/0310057X1103900415","article-title":"The efficacy of ultrasound-guided transversus abdominis plane block in patients undergoing hysterectomy","volume":"39","author":"Atim","year":"2011","journal-title":"Anesth Intensive Care"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1213\/00000539-199377020-00026","article-title":"Preemptive analgesia-treating postoperative pain by preventing the establishment of central sensitization","volume":"77","author":"Woolf","year":"1993","journal-title":"Anesth Analg"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1093\/bmb\/ldh030","article-title":"Pre-emptive analgesia","volume":"71","author":"Dahl","year":"2004","journal-title":"Br Med Bull"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1213\/01.ane.0000268541.83265.7d","article-title":"Transversus abdominis plane block","volume":"105","author":"Shibata","year":"2007","journal-title":"Anesth Analg"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"226","DOI":"10.4103\/0259-1162.108344","article-title":"Ultrasound-guided transversus abdominis plane block: A technically easier analgesic option in obese compared to epidural","volume":"6","author":"Chaudhuri","year":"2012","journal-title":"Anesth Essays Res"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1093\/bja\/aep067","article-title":"Ultrasound-guided transversus abdominis plane block: Description of a new technique and comparison with conventional systemic analgesia during laparoscopic cholecystectomy","volume":"102","author":"El-Dawlatly","year":"2009","journal-title":"Br J Anaesth"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1093\/bja\/aep235","article-title":"Ultrasound-guided transversus abdominis plane block for analgesia after Caesarean delivery","volume":"103","author":"Belavy","year":"2009","journal-title":"Br J Anaesth"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1093\/bja\/aen338","article-title":"Transversus abdominis plane block for laparoscopic surgery","volume":"102","author":"Mukhtar","year":"2009","journal-title":"Br J Anaesth"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1093\/bja\/aep175","article-title":"Analgesic efficacy of ultrasound-guided transversus abdominis plane block in patients undergoing open appendicectomy","volume":"103","author":"Niraj","year":"2009","journal-title":"Br J Anaesth"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1111\/j.1365-2044.2011.06855.x","article-title":"Studies on the spread of local anaesthetic solution in transversus abdominis plane blocks","volume":"66","author":"Carney","year":"2011","journal-title":"Anesthesia"},{"key":"-20240828","doi-asserted-by":"crossref","first-page":"185","DOI":"10.2147\/LRA.S278372","article-title":"Timing of Transversus Abdominis Plane Block and Postoperative Pain Management","volume":"13","author":"Escudero-Fung","year":"2020","journal-title":"Local Reg Anesth"}],"container-title":["Journal of Anaesthesiology Clinical Pharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/joacp.JOACP_283_19","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:10:41Z","timestamp":1787166641000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/joacp.JOACP_283_19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/joacp.joacp_283_19","relation":{},"ISSN":["2231-2730","0970-9185"],"issn-type":[{"value":"2231-2730","type":"print"},{"value":"0970-9185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]},"assertion":[{"value":"2019-08-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}