• Lauren Steffel, T Edward Kim, Steven K Howard, Daphne P Ly, Alex Kou, Robert King, and Edward R Mariano.
• Department of Anesthesiology, Perioperative and Pain Medicine (L.S., T.E.K., S.K.H., A.K., E.R.M.) and Division of General Surgery (D.P.L.), Stanford University School of Medicine, Stanford, California USA; and Anesthesiology and Perioperative Care Service (T.E.K., S.K.H., R.K., E.R.M.) and Surgical Service (D.P.L.), VA Palo Alto Health Care System, Palo Alto, California USA.
• J Ultrasound Med. 2016 Jan 1; 35 (1): 177-82.

AbstractTransversus abdominis plane (TAP) and ilioinguinal/iliohypogastric (II/IH) nerve blocks have been described as analgesic adjuncts for inguinal hernia repair, but the efficacy of these techniques in providing intraoperative anesthesia, either individually or together, is not known. We designed this retrospective cohort study to test the hypothesis that combining TAP and II/IH nerve blocks ("double TAP" technique) results in greater accordance between the preoperative anesthetic plan and actual anesthetic technique provided when compared to TAP alone. Based on this study, double TAP may be preferred for patients undergoing open inguinal hernia repair who wish to avoid general anesthesia.

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