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Bilateral Transversus Abdominis Plane Block as a Sole Anaesthetic Technique in Emergency Surgery for Huge Irreducible Incisional Hernia in a High Risk Patient

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Author(s): Raj Kumar Singh | Surjya Prasad Upadhyay | Thiruchengode Angamuthu Senthilnathan | Piyush N Mallick

Journal: Indian Anaesthetists' Forum
ISSN 0973-0311

Volume: 13;
Issue: 7;
Start page: 1;
Date: 2012;
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Keywords: ultrasound | TAP Block | Incisional hernia | anaesthetic technique | high risk patients

ABSTRACT
A 46-year old male, a known case of IHD, hypertension with dilated cardiomyopathy, post CABG and double valves replacement, peripheral vascular disease with past history of failed aorto-femoral bypass, DM with nephropathy and neuropathy, Budd Chiari syndrome with significant ascites, bed ridden with multiple bed sores was admitted for huge irreducible obstructed incisional hernia. The surgery - abdominal double layer repair was successfully conducted under Bilateral Transversus Abdominis Plane (TAP) block.
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