{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:21:44Z","timestamp":1787840504675,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Inguinal hernia repair uses regional anesthesia techniques such as transversalis fascia plane (TFP) and quadratus lumborum (QL) blocks for targeted pain relief and reduced opioid use, offering promising alternatives to traditional methods. Objective: This study aims to compare the efficacy of ultrasound-guided TFP block and QL block for postoperative analgesia in patients undergoing unilateral inguinal hernia repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A prospective randomized double-blinded study was conducted at Vinayaka Missions Kirupananda Variyar Medical College and Hospitals, involving 60 adult patients (aged 18\u201380 years) undergoing elective unilateral hernioplasty. Patients were randomly allocated into two groups: TFP and QL. The primary outcome measure was the time to first rescue analgesia post-block, with secondary outcomes including total analgesic consumption and visual analog scale scores. Statistical analysis was performed using appropriate methods, with a\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value &lt; 0.05 considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The baseline demographic characteristics, including age, gender, comorbidities, and ASA scores, were similar between the two groups. Both groups had comparable postoperative pain scores at 30 minutes (QL: 4.14 \u00b1 0.53, TF: 4.10 \u00b1 0.72), and no significant difference was found in the time to first rescue analgesia. The QL block showed superior analgesic efficacy with reduced opioid consumption, while the TFP block had a significantly shorter block performance time (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.028). Minor complications, such as transient hypotension, were observed but not statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both TFP and QL blocks offer postoperative analgesia for unilateral inguinal hernia repair, with QL block showing superior efficacy with prolonged sensory blockade and reduced consumption.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1882_24","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T01:02:10Z","timestamp":1750208530000},"page":"S1930-S1933","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Efficacy of Ultrasound-Guided Transversalis Fascia Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Inguinal Hernia Repair"],"prefix":"10.4103","volume":"17","author":[{"given":"P","family":"Naveenkumar","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, Vinayaka Mission\u2019s Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission\u2019s Research Foundation, Salem, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveena","family":"Pandian","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Vinayaka Mission\u2019s Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission\u2019s Research Foundation, Salem, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanu","family":"Shanmugasundaram","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Vinayaka Mission\u2019s Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission\u2019s Research Foundation, Salem, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. Arun","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Vinayaka Mission\u2019s Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission\u2019s Research Foundation, Salem, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panneerselvam","family":"Periasamy","sequence":"additional","affiliation":[{"name":"Department of Physiology, Government Erode Medical College, Perundurai, Affiliated Under the Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"R1-20250618","doi-asserted-by":"crossref","first-page":"140","DOI":"10.18410\/jebmh\/2017\/28","article-title":"To evaluate clinically the outcome of lichtenstein repair for inguinal hernia in a tertiary care centre","volume":"4","author":"Jeyaraman","year":"2017","journal-title":"J Evid Based Med Healthc"},{"key":"R2-20250618","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/ases.12618","article-title":"Case of chronic pain after laparoscopic percutaneous extraperitoneal closure in an adolescent girl with inguinal hernia in which open repair was effective","volume":"12","author":"Ishikawa","year":"2018","journal-title":"Asian J Endosc Surg"},{"key":"R3-20250618","doi-asserted-by":"crossref","DOI":"10.15342\/ijms.v6ir.248","article-title":"Self-retaining freedom proflor vs. lichtenstein mesh repair for the reduction of postoperative pain in inguinal hernia: A 1-year randomized controlled study","volume":"6","author":"Rao","year":"2019","journal-title":"Integr J Med Sci"},{"key":"R4-20250618","first-page":"e50251","article-title":"An unusual case of inguinal hernia with left ovary and ectopic left pelvic kidney in a 37-year-old woman: A unique clinical encounter","volume":"15","author":"Reddy","year":"2023","journal-title":"Cureus"},{"key":"R5-20250618","first-page":"e8692","article-title":"Laparoscopic transabdominal preperitoneal technique for inguinal hernia repair in adults","volume":"12","author":"Xuan","year":"2020","journal-title":"Cureus"},{"key":"R6-20250618","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1177\/000313481608201035","article-title":"Robotic inguinal hernia repair: Technique and early experience","volume":"82","author":"Arcerito","year":"2016","journal-title":"Am Surg"},{"key":"R7-20250618","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1213\/XAA.0000000000000666","article-title":"Ultrasound-guided transversalis fascia plane block: An alternative approach for anesthesia in inguinal herniorrhaphy: A case report","volume":"10","author":"Scimia","year":"2018","journal-title":"A A Pract"},{"key":"R8-20250618","first-page":"e67844","article-title":"Comparison between ultrasound guided transversalis fascia plane and transversus abdominis plane block on postoperative pain in patients undergoing elective cesarean section: A randomized clinical trial","volume":"20","author":"Rahimzadeh","year":"2018","journal-title":"Iran Red Crescent Med J"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1882_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:24:04Z","timestamp":1787837044000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1882_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":8,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1882_24","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2024-12-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}