Tap Block vs Peritoneal Infiltration After Major Gynecological Surgeries

Under ultrasound guidance, a 22 gauge stimuplex needle will be used to approach the transversus abdominis plane and 20ml of 0.25% Bupivicaine will be infiltrated into the TAP space. This procedure will be performed on either sides once anesthesia is induced.

Before skin closure, the surgeon will infiltrate the peritoneal cavity using a mixture of bupivicaine and epinephrine

All patients will be given patient controlled intravenous analgesia using Tramadol as the drug