Copyright © 2025 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

@article{171255,
        author = {Vaishali Thakur and Dr. Abhishek Gupta and Dr. Rajesh Kumar Harish and Dr. Pankaj kaul},
        title = {COMPARATIVE STUDY OF POSTOPERATIVE ANALGESIA BETWEEN 0.25% LEVOBUPIVACAINE WITH DEXAMETHASONE AND 0.25% ROPIVACAINE WITH DEXAMETHASONE IN ULTRASOUND-GUIDED TAP BLOCK FOR LOWER ABDOMINAL SURGERIES.},
        journal = {International Journal of Innovative Research in Technology},
        year = {2024},
        volume = {11},
        number = {7},
        pages = {3801-3805},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=171255},
        abstract = {Postoperative pain management plays a critical role in patient recovery following lower abdominal surgeries. Transversus abdominis plane (TAP) block, a regional anesthesia technique, provides effective somatic pain relief. This study aimed to compare the efficacy of 0.25% levobupivacaine with dexamethasone and 0.25% ropivacaine with dexamethasone in ultrasound-guided TAP blocks. A prospective, randomized, double-blind controlled study was conducted on 52 patients undergoing lower abdominal surgeries. Patients were randomized into two groups: Group Ld (20 mL of 0.25% levobupivacaine + 2 mL dexamethasone) and Group Rd (20 mL of 0.25% ropivacaine + 2 mL dexamethasone). Pain was assessed at predefined time intervals (0–24 hours) using the Visual Analog Scale (VAS). Rescue analgesia was provided for VAS scores >4. Patients in Group Ld experienced significantly lower VAS scores at 4, 8, 12, and 20 hours postoperatively compared to Group Rd (p <0.01). The duration of analgesia was longer in Group Ld, with fewer rescue analgesia requirements. Both groups demonstrated comparable safety profiles without notable adverse effects.
The combination of levobupivacaine with dexamethasone offers superior postoperative pain control compared to ropivacaine with dexamethasone in TAP blocks for lower abdominal surgeries. These findings highlight the potential clinical advantage of levobupivacaine as a preferred local anesthetic in managing postoperative pain.},
        keywords = {Levobupivacaine, Ropivacaine, Dexamethasone, TAP Block, Postoperative Pain},
        month = {December},
        }