Özet:

Backround: The purpose of this study was to determine the effectiveness of ultrasound-guided Transverse Abdominis Plane (TAP) block in patients after cesarean operation under spinal anesthesia. Methods: In this retrospective study, we reviewed the patient files which was elective cesarean operation under spinal anesthesia between May and October 2016. Fifty-eight patients who were fully informed were included in the study. The patients were divided into two groups as medical treatment subjects (Group 1) and TAP blockers (Group 2). Demographic data, visual analogue scale (VAS) values, NSAID (Nonsteroidal Anti-inflammatory Drug) and opioid consumption were examined at postoperative 1.2, 4, 6, 9, 12 and 24 hours. The time of first analgesic and opioid consumption in the patients was checked. Results: Postoperative 1 and 4 hour VAS values were significantly higher in group 1 patients (27 patients) than in group 2 patients (31 patients) who underwent TAP block. In patients receiving only medical treatment (Group 1), the need for opioids was found to be higher than patients receiving TAP block (Group 2), (p <0.05). The average duration of opioid application was 200,27 minutes in group 1 and 263,33 minutes in group 2 (p<0,05). In Group 1, 66.66% of the patients were treated with opioids and 29.03% in Group 2. Conclusions: We found that the TAP block decreased the postoperative VAS values and the opioid consumption. After the operation under spinal anesthesia.

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