SOC
Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Comparison of TAP block with two different doses of levobupivacaine for postoperative pain management in pediatric patients
Abstract
Aims: Transversus abdominus plane (TAP) block is a simple, effective and reliable method in postoperative pain management following lower abdominal procedures. The aim of the current study is to investigate the effects of two different doses of levobupivacaine in TAP block for postoperative management and to evaluate whether we can achieve effective pain management with lower dose than the recommended dose of Levobupivacaine.
Methods: Fifty patients aged between 2-12, undergoing unilateral inguinal surgery were included to the current randomized, controlled study. The patients were randomized to Group C (Control) (TAP block with levobupivacaine 0.25%, 0.5 ml/kg) and Group LD (low dose) (TAP block with levobupivacaine 0.25%, 0.25 ml/kg). Following monitorization and achieving sufficient anaesthesia depth, ultrasound guided TAP block was performed to all patients. The pain intensity [visual analogue scale, observer pain scale and faces scale], recovery profile (Modified Aldrete Recovery Score) and patient satisfaction were evaluated postoperatively. Peripheral nerve block complications and side effects were recorded during postoperative period. Analgesic drug was given to patients with VAS scores?4.
Results: No significant difference was found between groups demographic data (p>0.05). There was no significant difference between groups in terms of VAS, OPS, faces scale, patient satisfaction(p>0.05) the number of patients requiring rescue analgesic was 12 patients in control group and 14 in Low Dose group. (p>0.05) No complication and side effects were observed.
Conclusion: TAP block with low dose levobupivacaine may be successful to manage pain with less toxicity, and reduces complications due to local anesthetics.

Keywords : Levobupivacaine, TAP block, pediatric patients

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Article available in :
Volume 2, Issue 3, 2025
Page : 95-100
https://doi.org/10.51271/SOC-0044
Article Information
Received : 18 Nis 2025
Accepted : 20 May 2025
Published : 01 Tem 2025
Corresponding Author :

Emel Uyar: Department of Anesthesiology, Faculty of Medicine, Ankara University, Ankara, Turkiye

[email protected]
Citation : Uyar E, Çakar Turhan S, Özçelik M, Alkış N. Comparison of transversus abdominus plane block with two different doses of levobupivacaine for postoperative pain management in pediatric patients. Surg Child. 2025;2(3):95-100.

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