Quadratus lumborum block vs. transversus abdominis plane block in laparoscopic trans-abdominal pre-peritoneal repair of inguinal hernia in adults: A randomised controlled trial

Bhoi, Debesh; Roy, Avishek; Chhabra, Anjolie; Mohan, VirenderK; Darlong, Vanlal; Prasad, G. B. K. S.

doi:10.4103/ija.ija_304_22

Cited by 5 publications

(6 citation statements)

References 22 publications

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“…50,51 In terms of dermatomal coverage, a study by Roy et al contrasting anterior QLB with TAPB highlighted that the QLB ensured a more expansive coverage (from T8 to L1) as opposed to the narrower scope of TAPB (from T10 to L1). 36 This observation aligns with findings from Okur et al, where a comparison between posterior QLB and TAPB also revealed a wider sensory and motor block spread with the former. 35 The QLB has shown promise beyond its application in hernia repairs, with its potential being highlighted across various surgical procedures.…”

Section: Discussionsupporting

confidence: 91%

“…We included five RCTs comprising a sample of 255 patients. [33][34][35][36][37] Our results indicate that QLB may offer superior postoperative pain reduction in patients undergoing inguinal hernia repair.…”

Section: Discussionmentioning

confidence: 63%

“…For instance, while Sorenstua et al found no difference in opioid use between the two groups, Roy et al observed a 25% reduction in fentanyl use in the QLB group at the 24-h postoperative mark. 36,37 Consequently, future research focusing on postoperative opioid consumption in patients undergoing inguinal hernia repair should ensure sufficient power to discern true effects.…”

Section: Discussionmentioning

confidence: 99%

“…Opioid consumption in 24 h was reported in three studies. 33,36,37 There was no significant difference in opioid consumption between QLB and TAPB groups (MD −7.81 mg; 95% CI −18.69 to 3.06 mg; p = 0.16; and I 2 = 82%; Figure 2A). After sensitivity analysis, the results remained consistent and unchanged.…”

Section: Opioid Consumption In 24 Hmentioning

confidence: 95%

“…Five RCTs were included, [33][34][35][36][37] comprising 255 patients: 128 in the QLB group and 127 in the TAPB group. The search process is summarized in Figure 1.…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

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Quadratus lumborum block versus transversus abdominis plane block for inguinal hernia repair: A systematic review and meta‐analysis with trial sequential analysis

Marcolin,

Amaral,

Motter

et al. 2024

World j. surg.

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IntroductionPostoperative pain management is crucial for patient recovery with Quadratus Lumborum Block (QLB) and Transversus Abdominis Plane Block (TAPB) emerging as potential techniques. We aimed to compare the analgesic efficacy of QLB and TAPB in patients undergoing inguinal hernia repair.MethodsWe performed a systematic review of Cochrane, EMBASE, and MEDLINE databases to identify randomized controlled trials comparing QLB and TAPB in patients undergoing inguinal hernia repair. Outcomes included postoperative pain and opioid consumption. Statistical analysis was performed using RevMan 5.4. The review protocol was registered at PROSPERO (CRD42023445513).ResultsWe included five RCTs encompassing 255 patients. QLB was associated with a significant decrease in postoperative pain (MD −0.45; 95% CI −0.75 to −0.14; and p = 0.004; I2 = 94%). However, we found no difference in 24‐h opioid consumption between QLB and TAPB groups.ConclusionQLB may offer superior pain reduction. However, its effect on opioid consumption remains unclear.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Opioid Consumption In 24 Hmentioning

confidence: 95%

“…Five RCTs were included, [33][34][35][36][37] comprising 255 patients: 128 in the QLB group and 127 in the TAPB group. The search process is summarized in Figure 1.…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

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Quadratus lumborum block versus transversus abdominis plane block for inguinal hernia repair: A systematic review and meta‐analysis with trial sequential analysis

Marcolin,

Amaral,

Motter

et al. 2024

World j. surg.

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Transversus abdominis plane blocks in laparoscopic inguinal hernia repair: a review

Hubbard

Hubert

Vudayagiri

et al. 2023

Hernia

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Efficacy of transversus abdominis plane block on postoperative nausea and vomiting: a meta-analysis of randomized controlled trial

Zeng,

Hong,

et al. 2024

BMC Anesthesiol

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Background Postoperative nausea and vomiting (PONV) is a common postoperative complication, and Transversus abdominis plane (TAP) block can provide effective analgesia for surgical operation. However, but there is not enough evidence to prove its advantage for nausea and vomiting. The objective of this meta-analysis was to evaluate the efficacy of TAP block on PONV. Methods Two independent researchers conducted searches for randomized controlled trials (RCTs) in PubMed, Embase, and Cochrane Central Register of Controlled Trials. We used Review Manager software for meta-analysis. Results In this meta-analysis, twenty-six trials with 1981 patients were examined. The results showed that TAP block reduced postoperative nausea (Risk Difference (RD) = -0.10, 95% confidence interval (CI): -0.15 to -0.05) compared with no TAP block. TAP block reduced the dose of fentanyl (Standardized Mean Difference (SMD) = -1.17, 95% CI: -2.07 to -0.26) and morphine (SMD = -1.12, 95% CI: -2.10 to -0.13) compared with no TAP block, when the timing of administration was before surgery (RD = -0.13, 95% CI: -0.19 to -0.07). TAP block reduced postoperative nausea when the ropivacaine dosage is ≤ 100 mg (RD = -0.13, 95% CI: -0.21 to -0.06), bupivacaine dosage ≥ 100 mg ( RD = -0.08, 95% CI: -0.13 to -0.03), and when the ropivacaine concentration was ≤ 0.375% (RD = -0.11, 95% CI: -0.18 to -0.04). TAP block significantly reduced the incidence of nausea when the types of opioid drugs in PCA is tramadol (RD = -0.13, 95% CI: -0.24 to -0.03). TAP block could reduce the VAS (SMD= -0.99, 95% CI: -1.29 to -0.70) and reduce the time of extubation (SMD = -0.71, 95% CI: -1.34 to -0.08). Conclusion The meta-analysis conducted in this study revealed that TAP block could reduce the incidence of PONV, and the efficacy of TAP block may be influenced by factors such as administration time, local anesthetic dosage and concentration, types of opioid drugs in PCA.

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Quadratus lumborum block vs. transversus abdominis plane block in laparoscopic trans-abdominal pre-peritoneal repair of inguinal hernia in adults: A randomised controlled trial

Cited by 5 publications

References 22 publications

Quadratus lumborum block versus transversus abdominis plane block for inguinal hernia repair: A systematic review and meta‐analysis with trial sequential analysis

Quadratus lumborum block versus transversus abdominis plane block for inguinal hernia repair: A systematic review and meta‐analysis with trial sequential analysis

Transversus abdominis plane blocks in laparoscopic inguinal hernia repair: a review

Efficacy of transversus abdominis plane block on postoperative nausea and vomiting: a meta-analysis of randomized controlled trial

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