A randomized trial comparing surgeon-administered intraoperative transversus abdominis plane block with anesthesiologist-administered transcutaneous block

The Effect of Intraoperative Transversus Abdominis Plane Blocking on Postoperative Pain After Laparoscopic Transabdominal Pre-peritoneal (TAPP) Groin Hernia Repair

“…Moreover, intraoperative blockade under direct vision requires less time, does not require additional equipment and decreases operational cost. According to a comparative study by Narasimhulu et al ( 9 ), the time needed for the intraoperative technique was significantly shorter compared to the ultrasound technique (2.4 vs. 12.1 min, p < 0.001).…”

“…Several studies have reported that laparoscopic repair of groin hernias combined with ultrasound (US)-guided transverse abdominis plane (TAP) blocking might have promising outcomes in alleviating postoperative pain ( 6 , 7 ). During this technique, an injection of local anesthetic agents is performed under US-guidance between transverse and internal oblique muscle in order to infiltrate nerve fibers T7-L1, which innervate the anterior and lateral abdominal wall ( 8 , 9 ). The purpose of this study is to investigate whether intraoperative TAP-block under direct vision could be an effective method of reducing postoperative pain after laparoscopic groin hernia repair.…”

Learning curve of ultrasound-guided surgeon-administered transversus abdominis plane (UGSA-TAP) block on a porcine model

“…Studies have demonstrated that TAP blocks lower postoperative pain scores and consumption of opioids with minimal to no adverse effects, shorten the hospital length of hospital stay, and increase patient satisfaction [ [5] , [6] , [7] , [8] , [9] , [10] , [11] ]. While traditionally, anesthesiologists perform regional anesthesia, there has been growing interest in the surgeon-administered fascial plane block, peripheral nerve block, and ultrasound-guided or laparoscopic-guided TAP block [ 6 , 12 , 13 ]. This may be due to many reasons, including the lack of anesthesia staff, time constraints, operating room turnover, and hospital resources [ 14 , 15 ].…”