Comparison of Post Operative Analgesic Efficacy Between Dexmedetomidine with Levobupivacaine Versus Dexmedetomidine with Ropivacaine in Ultrasound Guided Transversus Abdominal Block for Total Abdominal Hysterectomy Surgeries in a Tertiary Care Hospital in

Abstract

Background: Effective postoperative pain control is essential for enhanced recovery following total abdominal hysterectomy. The Transverse Abdominis Plane (TAP) block, guided by ultrasound, offers targeted analgesia for lower abdominal surgeries. This study compares the postoperative analgesic efficacy of Dexmedetomidine combined with ropivacaine versus Dexmedetomidine combined with Levobupivacaine in TAP blocks.

Materials And Methods:  In a randomized, double blinded study, female patients undergoing total abdominal hysterectomy were divided into two groups. Group LD received Dexmedetomidine with levobupivacaine, while group RD received Dexmedetomidine with Ropivacaine for ultrasound guided TAP blocks after surgery.

Results: Both combinations provided effective postoperative analgesia. However Group L showed significantly longer duration of analgesia and reduced need for rescue analgesics compared to group R(p<0.05).

Conclusion: Dexmedetomidine with levobupivacaine provides superior postoperative analgesic efficacy compared to Dexmedetomidine with Ropivacaine in Ultrasound guided TAP blocks for total abdominal hysterectomy, with prolonged analgesia and reduced need for additional analgesics.