Evaluation of Transversus Abdominis Plane (TAP) Block in Hernia Surgery

Gao, Tao; Zhang, Juanjuan; Xi, Fengchan; Shi, Jialiang; Lü, Yi; Tan, Shanjun; Yu, Wenkui

doi:10.1097/ajp.0000000000000412

Cited by 52 publications

(33 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In general, it has been frequently elaborated that the TAP block may lead to a reduced analgesic use following IHR [ 3 , 20 ]. To our knowledge, the IVG and UG have not been compared further to one another in terms of analgesic use postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-versus visual-guided transversus abdominis plane block prior to transabdominal preperitoneal ingunial hernia repair. A retrospective cohort study

Paasch

Fiebelkorn

Santo

et al. 2020

Annals of Medicine and Surgery

View full text Add to dashboard Cite

Background The transversus abdominis plane block is a regional anesthesia technique. Recently, its impact on early chronic pain and the cumulative need of analgesic medication following inguinal hernia repair is being monitored. In terms of effectiveness and patient safety, it remains unclear whether the approach should be conducted preoperatively through ultrasound guidance, or through intraoperative visual guidance.The study at hand aims to provide more evidence on this topic. Methods A monocentric retrospective matched pair analysis was performed. The intraoperative visual guided and ultrasound guided -transversus abdominis plane block prior to inguinal hernia repair in transabdominal preperitoneal technique were consecutively compared in regard to analgesic effectiveness and complication rate. The data of individuals who were operated on from June 2007 to February 2019 were analyzed. The matching criteria were ASA-Score, Gender, Age ( ±6 years), and hernia size (<1,5 cm, 1,5-3 cm, >1,5 cm). Results A total of 116 patients were enrolled. Both groups were homogenous in terms of age, gender contribution, body mass index, ASA-Score, hernia type, and size. The pain score at the postoperative anesthesia care unit was lower in the ultrasound-guided-transversus abdominis plane group without being statistically significant (VAS-Score: 0.67 vs.0.84). Patients of the ultrasound-guided-transversus abdominis plane group received significantly less metamizole on the day of operation (1.29 g (0.96) vs. 1.68 g (0.70), p = 0.015). Conclusion Due to our findings, we assume that the ultrasound-guided-transversus abdominis plane -Block may reduce postoperative pain and analgesic consumption more effectively than the visual-guided-transversus abdominis plane lock. Further prospective clinical trials are mandatory.

show abstract

Section: Discussionmentioning

confidence: 99%

Ultrasound-versus visual-guided transversus abdominis plane block prior to transabdominal preperitoneal ingunial hernia repair. A retrospective cohort study

Paasch

Fiebelkorn

Santo

et al. 2020

Annals of Medicine and Surgery

View full text Add to dashboard Cite

show abstract

“…Multiple systematic reviews have confirmed the analgesic efficacy of TAP block for open and laparoscopic colorectal surgeries [38, 39, 40•, 41-43]. Similarly, ultrasound-guided TAP block has been found to be an effective analgesic intervention in patients undergoing laparoscopic cholecystectomy [44,45] and hernia surgery [46]. TAP blocks have also been shown to significantly lower intraoperative and cumulative postoperative 24-h opioid consumption, provide better pain control, and decrease the 24-h incidence of postoperative nausea vomiting for renal transplant recipients [47].…”

Section: Tap Blocks Versus No Block/placebomentioning

confidence: 99%

Transversus Abdominis Plane (TAP) and Rectus Sheath Blocks: a Technical Description and Evidence Review

Uppal

Sancheti

Kalagara

2019

Curr Anesthesiol Rep

View full text Add to dashboard Cite

Purpose of Review This article aims to review the anatomy relevant to the ultrasound techniques of the transversus abdominis plane (TAP) block and rectus sheath block (RSB). We discuss their analgesic efficacy for various surgical procedures, both as single shot and as a continuous infusion via catheters. Recent Findings RSB provides superior analgesia to local infiltration and has an opioid-sparing effect for umbilical surgery, laparotomy, and laparoscopic surgery. There is no high-quality evidence comparing RSB with epidural analgesia. Intermittent bolus through catheters appears to be more effective than continuous infusion for prolonged analgesia. Similarly, ultrasoundguided TAP block provides postoperative analgesic benefit after abdominal laparotomy or laparoscopy and cesarean delivery when long-acting neuraxial opioids are not used or contraindicated. Adding adjuvant such as dexamethasone and dexmedetomidine to local anesthetic prolongs the duration of TAP and RSB blocks and improves their efficacy. Summary Use of ultrasound guidance makes the RSB and TAP blocks more reliable. Single-shot infiltration is useful for less extensive surgical procedures, while catheters are a useful alternative when thoracic epidural analgesia is contraindicated.

show abstract

“…Thus, there was a surge of interest in TAP blocks as therapeutic adjuncts for analgesia after abdominal surgeries. In the past decade, there has been growing evidence supporting the effectiveness of TAP blocks for a variety of abdominal surgeries, such as cesarean section, hysterectomy, cholecystectomy, colectomy, prostatectomy, and hernia repair [ 1 , 3 – 9 ]. Although its analgesic effect covers only somatic pain with short duration [ 10 ], single-shot TAP block plays a valuable role in multimodal analgesia.…”

Section: Introductionmentioning

confidence: 99%

Transversus Abdominis Plane Block: An Updated Review of Anatomy and Techniques

Tsai

Yoshida

Chuang

et al. 2017

BioMed Research International

284

196

View full text Add to dashboard Cite

Purpose of Review Transversus abdominis plane (TAP) block is a regional technique for analgesia of the anterolateral abdominal wall. This review highlights the nomenclature system and recent advances in TAP block techniques and proposes directions for future research. Recent Findings Ultrasound guidance is now considered the gold standard in TAP blocks. It is easy to acquire ultrasound images; it can be used in many surgeries involving the anterolateral abdominal wall. However, the efficacy of ultrasound-guided TAP blocks is not consistent, which might be due to the use of different approaches. The choice of technique influences the involved area and block duration. To investigate the actual analgesic effects of TAP blocks, we unified the nomenclature system and clarified the definition of each technique. Although a single-shot TAP block is limited in duration, it is still the candidate of the analgesic standard for abdominal wall surgery because the use of the catheter technique and liposomal bupivacaine may overcome this limitation. Summary Ultrasound-guided TAP blocks are commonly used. With the unified nomenclature and the development of catheter technique and/or liposomal local anesthetics, TAP blocks can be applied more appropriately to achieve better pain control.

show abstract

Evaluation of Transversus Abdominis Plane (TAP) Block in Hernia Surgery

Abstract: Within a heterogeneous group of RCTs, TAP block reduces postoperative morphine requirements and the severity of pain after hernia surgery.

Cited by 52 publications

References 36 publications

Ultrasound-versus visual-guided transversus abdominis plane block prior to transabdominal preperitoneal ingunial hernia repair. A retrospective cohort study

Ultrasound-versus visual-guided transversus abdominis plane block prior to transabdominal preperitoneal ingunial hernia repair. A retrospective cohort study

Transversus Abdominis Plane (TAP) and Rectus Sheath Blocks: a Technical Description and Evidence Review

Transversus Abdominis Plane Block: An Updated Review of Anatomy and Techniques

Contact Info

Product

Resources

About