To evaluate the safety and efficacy of ultrasound-guided transverse fascia plane block for postoperative analgesia of Modified Kugel tension-free hernia repair and TAPP in elderly inguinal hernia.

A prospective controlled study was performed on 54 patients who had been diagnosed with inguinal hernia and agreed to receive elective Modified Kugel tension-free hernia repair and 70 patients who had received TAPP at the Department of Hernia and Abdominal Wall Surgery of the Affiliated Hospital of Guangdong Medical University from January 1, 2019, to January 30, 2020. The patients in the Modified Kugel surgery group (O group) were divided into 20 patients in the observation group (O1 group) and 34 patients in the control group (O2 group) according to the random number table method. Among the 70 cases in the TAPP group (L group), 31 cases were divided into observation (L1 group) and 39 cases were divided into a control group (L2 group). VAS scores at 2 h, 8 h, 12 h, 24 h, and 48 h postoperatively, time of first use of painkillers, time out of bed, and the number of postoperative adverse reactions in the 4 groups were observed. The results of the observation groups with different surgical methods and the control groups were analyzed and compared.

VAS scores of different operation groups at 2 h, 8 h, 12 h, and 24 h were significantly lower than those of the control groups (P<0.05). The time of first postoperative use of analgesics in the observation groups was later than those in the control groups (P<0.05), the first time out of bed activity was significantly earlier than that in the control group (P<0.05), and the postoperative adverse reactions rates in the observation groups were lower than those in the control groups. The differences were statistically significant (P<0.05).

Ultrasound-guided transverse fascia plane block has a significant analgesic effect in tension-free inguinal hernia repair and promotes rapid postoperative recovery of patients.