Subcostal Transversus Abdominis Plane Block for Laparoscopic Sleeve Gastrectomy, Is It Worth the Time?

2019 ◽  
Vol 29 (10) ◽  
pp. 3188-3194
Author(s):  
Mümin Coşkun ◽  
Samet Yardimci ◽  
Mustafa Kemal Arslantaş ◽  
Gülbin Töre Altun ◽  
Tevfik Kıvılcım Uprak ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane

Laparoscopic-guided transversus abdominis plane block following laparoscopic sleeve gastrectomy is associated with an earlier return to activity: a study of 271 patients

2019 ◽  
Vol 34 (5) ◽  
pp. 2197-2203
Author(s):  
Ziyad Nasrawi ◽  
Toni Beninato ◽  
Krystyna Kabata ◽  
Stella Iskandarian ◽  
Michael E. Zenilman ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Return To Activity

Laparoscopic-Assisted Transversus Abdominis Plane Block to Decrease Postoperative Opioid Use in Laparoscopic Sleeve Gastrectomy Patients

2018 ◽  
Vol 227 (4) ◽  
pp. S21-S22
Author(s):  
Ilana G. Margulies ◽  
Yulia Eskin ◽  
Ninna Nana ◽  
Ali Emamhosseini ◽  
Tuesday FA. Cook ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Opioid Use ◽  
Transversus Abdominis Plane ◽  
Laparoscopic Assisted

scholarly journals Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy

2017 ◽  
Vol 38 (12) ◽  
pp. 1224-1229 ◽  
Author(s):  
Dilek Arı ◽  
Arzu Ar ◽  
Ceren Karip ◽  
Ceren Köksal ◽  
Mehmet Aydın ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Pain Control ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided

scholarly journals Paragastric, lesser omentum neural block to prevent early visceral pain after laparoscopic sleeve gastrectomy: A randomized clinical trial protocol

2021 ◽  
Author(s):  
Jorge ◽  
Rafael Pantoja ◽  
Andrés Hanssen ◽  
Elika Luque ◽  
David Morrell ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Visceral Pain ◽  
Transversus Abdominis ◽  
Surgical Trauma ◽  
Transversus Abdominis Plane ◽  
Somatic Pain ◽  
Retrosternal Pain ◽  
Colicky Pain ◽  
Patients Experience

The somatic pain induced by surgical trauma to the abdominal wall after laparoscopic sleeve gastrectomy (LSG) is effectively managed using conventional analgesia and transversus abdominis plane (TAP) blocks. In contrast, the visceral, colicky, pain that patients experience after LSG does not respond well to traditional pain management. Patients typically experience epigastric and retrosternal pain that begin immediately after LSG and lasts up to 72 hours after LSG. This visceral type of pain has been ascribed to the spasm of the neo-gastric sleeve. The pain is often severe and requires opioid derivatives. Patients frequently have associated autonomic symptoms such as nausea, retching and vomiting. In the last 15 years at our institutions, we have used many analgesic strategies to manage this burdensome symptom in the more than 2000 LSG procedures we have performed, but none have been satisfactorily effective1,2.

Perioperative Multimodal Anesthetic Care Incorporating Transversus Abdominis Plane Block Is Associated With Reduced Narcotic Use in Laparoscopic Sleeve Gastrectomy

2021 ◽  
pp. 000313482098882
Author(s):  
Sean P Martin ◽  
Joshua Etzel ◽  
Gary Aghazarian ◽  
Yijin Wert ◽  
Joseph F Answine ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Transversus Abdominis ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Anesthetic Care ◽  
Significant Difference ◽  
Hospital Days

Background Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric surgery performed in North America. As our knowledge of the importance in limiting narcotic use in postoperative patients increases, we sought to evaluate the effect of transversus abdominis plane (TAP) blocks on inpatient narcotic use in patients undergoing LSG. Methods A retrospective review of LSG performed at a single institution by 3 bariatric surgeons was performed. All cases over a 15-month period were included, and anesthesia records were reviewed to stratify patients that received a TAP block and those that did not. Demographic, as well as surgical, outcomes were collected for all patients. Narcotic utilization, as reported in morphine equivalents (ME), was evaluated between the 2 groups. Results 384 LSG patients were identified, of which 37 (9.6%) received a TAP block. There was no statistically significant difference in postoperative morbidity, length of stay, or readmission between groups. Median narcotic utilization in hospital days 1 and 2 in patients with TAP blocks was 49 ME (Interquartile Range (IQR) 14.5-84.5) to 82.5 ME (IQR 57.4-106) in the no-TAP group ( P < .001). After controlling for multiple demographic- and patient-related cofactors, multiple linear regression analysis demonstrated TAP block patients utilized 22.48 ME less than the no-TAP group ( P < .001) in the first 2 days of their hospitalization. Discussion Patients that received a TAP block as a part of their perioperative anesthetic care utilized less in-hospital narcotics than those patients that did not receive a TAP block. TAP blocks should be considered as part of a multimodal pain control strategy for patients undergoing LSG.

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