Management of surgery, anesthesia and TFP block
STERILE, INFILTRATION, CAVITY, LOCAL ANESTHETICS
Patients were placed in the supine position. Following patient monitoring with electrocardiography (ECG), non-invasive blood pressure (NIBP) and peripheral oxygen saturation (SpOPostoperatively, TFPB and infiltration analgesia were performed by experienced anesthesiologists or urologists, respectively. TFPB was performed under sterile conditions using a linear ultrasound probe (Esaote®, Mylab 5, Florence, Italy) and a 80 mm block needle (B.Braun®, Melsungen, Germany) was used to administer local anesthesic below the transversus abdominis muscle into the perirenal adipose tissue, taking into account the borders of the abdominal cavity. Local anesthetic used in both Group TFPB and group I consisted of 20 ml of 0.25% bupivacaine. In group I, the local anesthetic was administered into the cutaneous and subcutaneous tissues. (Fig. Anatomic illustration and ultrasonographic image of transversalis fascia plane block intervention. In both groups, interventions were performed at the end of the surgery before anesthesia was terminated. Patients who required additional surgery apart from varicocelectomy or intubation due to airway management issues were excluded from the study.