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

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.