Document Type

Original Article


Background: Transversus abdominis plane (TAP) block is a peripheral nerve block that anesthetizes the abdominal wall. The thoracolumbar nerves (T10-L1) are located in the fascial plane (TAP) among the internal oblique & transverses abdominis muscles. Aim of the study: The objective of the research is to analyze the evidence and assess the analgesic efficacy of ropivacaine TAP block for 24 hours following Pfannenstiel incision caesarean surgery. Patients and methods: A prospective randomized controlled clinical trial was conducted on 60 females undergoing cesarean section in the Department of Obstetrics and Gynecology of Al-Azhar University Hospital and El-Fayoum General Hospital. The participants were separated into two groups at random. Results: The percentage of individuals in both groups requiring NSAIDs at 8, 12 & 24 hours was substantially greater in group C, but there was not a significant distinction among the groups overall. There was also a substantial reduction over time in the proportion of individuals in each group who required NSAIDs. Conclusion: because abdominal incision pain is so prevalent in the postoperative period following a cesarean, the TAP block, when combined with other forms of analgesia, can lessen the need for pain medication in the first 48 hours after surgery, improve the effectiveness of the first analgesic, and enhance postoperative patient satisfaction.


Ultrasound; Pain Control; Cesarean Section

Subject Area

Obstetrics and Gynecology