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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

Keywords: ultrasound , TAP Block , Incisional hernia , anaesthetic technique , high risk patients

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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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