Anesthesia Considerations for Operative Laparoscopy in Pediatric and Adolescent Gynecological Surgery

Roddy, Katie J.; Mukkamala, Shivani; Rosenberg, Erin; Patel, Chhaya

doi:10.1007/978-3-030-52984-0_32

Cited by 2 publications

(2 citation statements)

References 49 publications

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“…For patients undergoing laparoscopic radical resection of cervical cancer, the pain mainly stems from the abdominal incision and mostly intensifies after analgesic recovery. By blocking the anterior abdominal wall nerve, TAPB reduces the pain in the abdominal wall area, thereby achieving a promising and targeted analgesic effect (18)(19)(20)(21).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Transversus Abdominis Plane Block in Patients After Laparoscopic Radical Cervical Cancer Surgery

Gao

Wang

et al. 2022

Front. Surg.

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ObjectiveThis study aimed to evaluate the efficacy of transversus abdominis plane block (TAPB) in patients after laparoscopic radical cervical cancer surgery.MethodsA total of 120 patients with cervical cancer who underwent laparoscopic radical resection in the hospital from January 2019 to January 2020 were selected and concurrently assigned to either patient-controlled intravenous analgesia (PCIA) (Control group) or PCIA plus TAPB (Observation group) according to different methods. The visual analogscale (VAS), Bruggemann comfort scale (BCS), immune function indicators, hemodynamics, analgesia indicators, and postoperative recovery time were recorded and compared.ResultsThe Observation group had a lower VAS score and a higher BCS postoperatively compared with the Control group, and the difference was statistically significant. After the operation, immune function indexes of patients in the two groups were declined, and the difference was statistically significant. At 76 h after operation, the immune function indexes of the Control group were lower than the Observation group, and the difference was statistically significant. After the operation, the Control group obtained a higher mean arterial pressure (MAP) at extubation, and the difference was statistically significant. The Observation group outperformed the Control group in terms of analgesia indicators and postoperative recovery time, and the difference was statistically significant.ConclusionTAPB can enhance the analgesic effect of patients after laparoscopic radical resection of cervical cancer, stabilize their physical signs, has little effect on the patient's immune function, with a high safety profile.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Transversus Abdominis Plane Block in Patients After Laparoscopic Radical Cervical Cancer Surgery

Gao

Wang

et al. 2022

Front. Surg.

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“…To lessen postoperative discomfort, several techniques including local anesthetic injection (LAI) at trocar access sites, intraperitoneal local anesthetic injection (IPLA), pneumoperitoneum pressure reduction, transversus abdominis plane block (TAPB), and fewer trocars were utilized during the surgery [11]. Authors of [12] analyzed the unique anesthetic needs of children and teenagers undergoing laparoscopic surgery. It also discusses preoperative factors for children undergoing surgery, such as patient screening and premedication.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a new regional anesthetic mixture on pain control after pediatric heart surgery: a systematic randomized trial

Varshney¹,

Singh²,

Harkawat³

2023

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Background: Large randomized clinical trials to evaluate analgesic treatments in pediatric surgery patients are challenging to undertake. Regional anesthetic improves postoperative pain in adults, but its benefits on pediatric patients are unclear. Objective: This study examined regional anesthesia’s effectiveness in reducing postoperative pain. The research on the impact of regional anaesthetic on postoperative pain in paediatric surgical patients was searched extensively. Methods: 2,408 pediatric patients from 10 trials were examined. The majority of the publications written between 2013 and 2017 claimed that using regional anesthetics decreased the need for opioids and lessened postoperative pain. A small number of surgical operations did not significantly vary from normal anesthetic administration in terms of postoperative pain relief. Result: For numerous surgical operations (craniectomy, ophthalmologic surgery, otologic surgery, and heart surgery) on children, better regional anesthesia techniques are needed to reduce postoperative pain. In terms of pain, the Trial group's statistically decreased mean values were discovered (p

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Anesthesia Considerations for Operative Laparoscopy in Pediatric and Adolescent Gynecological Surgery

Cited by 2 publications

References 49 publications

Efficacy of Transversus Abdominis Plane Block in Patients After Laparoscopic Radical Cervical Cancer Surgery

Efficacy of Transversus Abdominis Plane Block in Patients After Laparoscopic Radical Cervical Cancer Surgery

Effectiveness of a new regional anesthetic mixture on pain control after pediatric heart surgery: a systematic randomized trial

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