Local wound infiltration plus transversus abdominis plane (TAP) block versus local wound infiltration in laparoscopic colorectal surgery and ERAS program

Abstract

TAP block plus local wound infiltration in the setting of laparoscopic colorectal surgery and ERAS program guarantees a reduced use of opioid analgesics and good pain control allowing the improvement of essential items of enhanced recovery pathways.

Transversus abdominis plane (TAP) block in laparoscopic colorectal surgery improves postoperative pain management: a meta‐analysis

“…As of 8 April 2017, the literature search identified 27 studies which were screened for potential inclusion (Figure ). As detailed in Figure , a total of 14 studies were excluded on the basis of abstract reading and two additional studies were excluded after detailed reading of the manuscript, leading to the inclusion of 13 studies .…”

“…As summarized in Table , among the 13 included studies, 7 were RCTs , 4 were prospective nonrandomized studies and 2 were of retrospective design , including one case‐matched study . Overall, these studies included a total of 600 patients who underwent laparoscopic colorectal surgery with TAP block and 762 patients without TAP block.…”

“…Overall, these studies included a total of 600 patients who underwent laparoscopic colorectal surgery with TAP block and 762 patients without TAP block. The methodological quality of included RCTs was 3/5 in four studies and 4/5 in three studies , and the methodological quality of the non‐RCTs was 6/9 in two studies and 7/9 in four studies . Inclusion and exclusion criteria of the 13 included studies are detailed in Table .…”

Pain Control after Laparoscopic Radical Prostatectomy: Comparison between Unilateral Transversus Abdominis Plane Block and Wound Infiltration

“…A study in laparoscopic colorectal surgery concluded that TAP block could indeed control postoperative pain and reduce consumption of analgesics drugs [18]. Hosgood et al [19] reported efficacy of TAP blocks in a placebo-controlled trial.…”

Nuevos enfoques en el tratamiento del Dolor Agudo Postoperatorio

“…Se necesitan estudios específicos por procedimiento quirúrgico.  Bloqueo TAP (plano transverso abdominal): el bloqueo TAP se ha demostrado efectivo en cirugía colorrectal laparoscópica (43), en cesáreas e histerectomías, en cirugía urológica y en el trasplante renal, entre otras. Desde un punto de vista multimodal (44), disminuye el consumo de morfina en un 43 % y el tiempo de inicio de dieta oral.…”