Comparison of Effect of Levobupivacaine (0.25%) Versus Ropivacaine (0.2%) in USG Guided Tap Block for Post-Operative Analgesia in Hysterectomy

Dr. Avneet Kaur

Abstract: Background: The Transversus Abdominis Plane (TAP) block is a regional anaesthetic technique targeting the nerves supplying the anterior abdominal wall. It is widely used as part of multimodal analgesia for lower abdominal surgeries. Aim: To compare the efficacy of Levobupivacaine (0.25%) versus Ropivacaine (0.2%) in ultrasound-guided TAP block for postoperative analgesia in hysterectomy patients. Methods: A randomized prospective study was conducted on 10 ASA I/II patients aged 40?60 years undergoing hysterectomy under spinal anaesthesia. Patients were divided into two groups (n=5 each). Postoperatively, a USG-guided TAP block was administered using either 20 ml of 0.25% Levobupivacaine or 20 ml of 0.2% Ropivacaine. VAS scores and duration of analgesia were recorded at 0, 1, 2, 4, 6, and 12 hours postoperatively. Results: VAS scores were initially comparable between groups. However, at 6 and 12 hours, significantly lower VAS scores and reduced tramadol requirements were observed in the Levobupivacaine group. No significant adverse effects were noted. Conclusion: Levobupivacaine (0.25%) offers superior postoperative analgesia compared to Ropivacaine (0.2%) in USG-guided TAP blocks for hysterectomy patients.

Keywords: TAP block, Levobupivacaine, Ropivacaine, Hysterectomy, Postoperative Analgesia, VAS Score

How to Cite?: Dr. Avneet Kaur, "Comparison of Effect of Levobupivacaine (0.25%) Versus Ropivacaine (0.2%) in USG Guided Tap Block for Post-Operative Analgesia in Hysterectomy", Volume 14 Issue 8, August 2025, International Journal of Science and Research (IJSR), Pages: 124-125, https://www.ijsr.net/getabstract.php?paperid=SR25730233909, DOI: https://dx.doi.org/10.21275/SR25730233909