Effect of the transversus abdominis plane block on postoperative pain and recovery in patients with hepatic echinococcosis

Su, Wenjie; Deng, Xiaofang; Li, Xiangkui; Deng, Jia; Yang, Mengchang

doi:10.1177/0300060518775292

Cited by 2 publications

(3 citation statements)

References 23 publications

(30 reference statements)

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“…The efficacy of a TAP block in preventing postoperative pain after open liver surgery was tested in nine studies, which included a total of 816 patients: two compared to neuraxial analgesia (2 RO), two to placebo (2 RCTs), three to systemic opioids (2 RCTs and 1 RO), one assessed the combination with NSAID-parecoxib-(RCT) and one to WI (RCT) [31][32][33][34][35][36][51][52][53]. According to results reported in an RO that included four study groups (combination of TAP block plus neuraxial analgesia; TAP block alone; neuraxial analgesia alone; or systemic opioids), patients that received a TAP block in combination with TEA showed the lowest pain scores and required less opioid consumption; those treated with the remaining approaches resulted in progressively lower efficacy (Table 3).…”

Section: Trials Assessing Tap Blockmentioning

confidence: 99%

“…When compared to the placebo, to the use of systemic opioids or parecoxib, the use of a TAP block proved to be consistently more effective in preventing pain and reducing opioid consumption (Table 3) [31][32][33][34][35]53]. Compared to WI, the TAP block was equally effective in pain control and led to lower opioid consumption (Table 3) [36].…”

Section: Trials Assessing Tap Blockmentioning

confidence: 99%

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Postoperative Analgesia after Open Liver Surgery: Systematic Review of Clinical Evidence

Dudek

Zawadka

Andruszkiewicz

et al. 2021

JCM

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Background: The existing recommendations for after open liver surgery, published in 2019, contains limited evidence on the use of regional analgesia techniques. The aim of this systematic review is to summarize available clinical evidence, published after September 2013, on systemic or blended postoperative analgesia for the prevention or treatment of postoperative pain after open liver surgery. Methods: The PUBMED and EMBASE registries were used for the literature search to identify suitable studies. Keywords for the literature search were selected, with the authors’ agreement, using the PICOS approach: participants, interventions, comparisons, outcomes, and study design. Results: The literature search led to the retrieval of a total of 800 studies. A total of 36 studies including 25 RCTs, 5 prospective observational, and 7 retrospective observational studies were selected as suitable for this systematic review. Conclusions: The current evidence suggests that, in these patients, optimal postoperative pain management should rely on using a “blended approach” which includes the use of systemic opioids and the infusion of NSAIDs along with regional techniques. This approach warrants the highest efficacy in terms of pain prevention, including the lower incretion of postoperative “stress hormones”, and fewer side effects. Furthermore, concerns about the potential for the increased risk of wound infection related to the use of regional techniques have been ruled out.

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Section: Trials Assessing Tap Blockmentioning

confidence: 99%

Section: Trials Assessing Tap Blockmentioning

confidence: 99%

Postoperative Analgesia after Open Liver Surgery: Systematic Review of Clinical Evidence

Dudek

Zawadka

Andruszkiewicz

et al. 2021

JCM

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“…After duplicates and irrelevant studies were removed and titles, abstracts and full texts were screened, 12 studies, including a total of 986 patients undergoing liver resection, were finally included in the meta-analysis. [15][16][17][18][19][20][21][22][23][24][25][26] The selected studies were published between 2013 and 2021; their basic characteristics are shown in Table 1.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Use of local wound infiltration in open hepatectomy to reduce wound pain: A systematic review and meta‐analysis

Meng

Zhao

Hou

2023

International Wound Journal

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The aim of this study was to assess the effects of local wound infiltration anaesthesia on postoperative wound pain in patients undergoing open liver resection. The Cochrane Library, PubMed, EMBASE, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM) and Wanfang databases were searched. The search period spanned from database creation to December 2022. All relevant studies on local wound infiltration anaesthesia for analgesia after hepatectomy were included. Two investigators independently screened the literature, extracted data and evaluated the quality of each study. Review Manager (RevMan) 5.4 software (Cochrane Collaboration) was used for the meta‐analysis, in which 12 studies with 986 patients were included. The results show that local wound infiltration anaesthesia effectively reduced surgical site wound pain at 4 h (mean difference [MD]: −1.26, 95% confidence intervals [CIs]: −2.15 to −0.37, P = .005), 12 h (MD: −0.84, 95% CIs: −1.26 to −0.42, P < .001), 24 h (MD: −0.57, 95% CIs: −1.01 to −0.14, P = .009) and 48 h (MD: −0.54, 95% CIs: −0.81 to −0.26, P < .001) postoperatively; however, there was no significant difference in analgesia at 72 h postoperatively (MD: −0.10, 95% CIs: −0.80 to 0.59, P = .77). These findings suggest that local wound infiltration anaesthesia administered to patients undergoing open liver resection provides good postoperative wound analgesia at the surgical site.

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Effect of the transversus abdominis plane block on postoperative pain and recovery in patients with hepatic echinococcosis

Cited by 2 publications

References 23 publications

Postoperative Analgesia after Open Liver Surgery: Systematic Review of Clinical Evidence

Postoperative Analgesia after Open Liver Surgery: Systematic Review of Clinical Evidence

Use of local wound infiltration in open hepatectomy to reduce wound pain: A systematic review and meta‐analysis

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