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

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

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.

Sign in / Sign up

Export Citation Format

Share Document