To explore the feasibility and effectiveness of Ultrasound-guided bilateral transverse abdominal plane block in the enhanced recovery after laparoscopic hiatal hernia repair.

From October 2014 to October 2015, the patients in People′s Hospital of Xinjiang Uygur Autonomous Region undergoing selective laparoscopic hiatal hernia repair were randomly divided into 3 groups(n=20). After the operation, Ultrasound-guided bilateral transverse abdominal plane block and intramuscular parecoxib were performed.According to the grouping situation, The patients of ultrasound-guided bilateral transverse abdominal plane block were administrated with 0.25% ropivacaine hydrochloride 40 ml.The patients of intramuscular parecoxib were administrated 40 mg parecoxib every 8 to 24 hours.Visual analog pain score(VAS)at 2, 4, 6, 8, 12 and 24 h after operation were compared.The satisfaction of postoperative analgesia and the adverse reactions such as local anesthetics poisoning, nausea and vomiting, respiratory depression and skin pruritus were compared.

The VAS score of the TAP block group combined with parecoxib in all the time were Significantly lower than the other two groups, and The satisfaction of postoperative analgesia is higher(P<0.05). No adverse reaction occurred.

Ultrasound-guided bilateral transverse abdominal plane block in the enhanced recovery after laparoscopic hiatal hernia repair combined with parecoxib had exact analgesic effect, could effectively promote the patients′ rapid recovery, and were worth promoting.