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

Abstract Aim “COVID has been a great challenge for Hospitals around the world. At our surgical department a new protocol of TAP block was designed and implemented in our laparoscopic incisional ventral hernia repairs, to allow these patients to be operated in ambulatory regime, without compromising pain control and the outcomes. In this video we aim to present the technique for the Laparoscopic-guided TAP Block during a Laparoscopic IPOM Plus ventral hernia repair.” Material and Methods “We implemented this protocol in July 2020 and since then, we performed 18 TAP block in laparoscopic incisional hernia repairs, laparoscopic guided by the Surgeon or ultrasound-guided by the Anesthesiologist. In this case, the video reports to a Laparoscopic IPOM Plus incisional hernia repair performed on a 54-year-old patient, male, with obesity, arterial hypertension and dyslipidemia. He had a 6 centimeter incisional hernia post-colorectal surgery in 2013.” Results “As detailed in the video, we show all the steps to perform a TAP block under laparoscopic direct visualization” Conclusions “TAP block can be performed by the Surgeon, with direct visualization at the beginning of the laparoscopic procedure.”

Download Full-text

Efficacy of Transversus Abdominis Plane Block and Rectus Sheath Block in Laparoscopic Inguinal Hernia Surgery

International Surgery ◽

10.9738/intsurg-d-14-00193.1 ◽

2015 ◽

Vol 100 (4) ◽

pp. 666-671 ◽

Cited By ~ 12

Author(s):

Katsushi Takebayashi ◽

Masakata Matsumura ◽

Yasuhiro Kawai ◽

Takahiko Hoashi ◽

Nagato Katsura ◽

...

Keyword(s):

Inguinal Hernia ◽

Postoperative Pain ◽

Rectus Sheath ◽

Transversus Abdominis ◽

Block Group ◽

Tap Block ◽

Transversus Abdominis Plane ◽

Hernia Surgery ◽

Laparoscopic Inguinal Hernia ◽

Inguinal Hernia Surgery

We aimed to assess the efficacy of transversus abdominis plane (TAP) block and rectus sheath (RS) block in patients undergoing laparoscopic inguinal hernia surgery. Few studies have addressed the efficacy and safety associated with TAP block and RS block for laparoscopic surgery. Thirty-two patients underwent laparoscopic inguinal hernia surgery, either with TAP and RS block (Block+ group, n = 18) or without peripheral nerve block (Block− group, n = 14). Preoperatively, TAP and RS block were performed through ultrasound guidance. We evaluated postoperative pain control and patient outcomes. The mean postoperative hospital stays were 1.56 days (Block+ group) and 2.07 days (Block− group; range, 1–3 days in both groups; P = 0.0038). A total of 11 patients and 1 patient underwent day surgery in the Block+ and Block− groups, respectively (P = 0.0012). Good postoperative pain control was more commonly observed in the Block+ group than in the Block− group (P = 0.011). TAP and RS block was effective in reducing postoperative pain and was associated with a fast recovery in patients undergoing laparoscopic inguinal hernia surgery.

Download Full-text

Ultrasound (US) guided transversus abdominis plane (TAP) block for paediatric inguinal hernia surgery - a pilot study

Pediatric Anesthesia ◽

10.1111/j.1460-9592.2009.02993_6.x ◽

2009 ◽

Vol 19 (5) ◽

pp. 556-557

Author(s):

M.J. Fredrickson

Keyword(s):

Inguinal Hernia ◽

Pilot Study ◽

Transversus Abdominis ◽

Tap Block ◽

Transversus Abdominis Plane ◽

Hernia Surgery ◽

Inguinal Hernia Surgery

Download Full-text

Efficacy of ultrasound-guided Transversus Abdominis Plane (TAP) block in inguinal hernia surgery and the immunomodulatory effects of proinflammatory cytokines: prospective, randomized, placebo-controlled study

Brazilian Journal of Anesthesiology (English Edition) ◽

10.1016/j.bjane.2021.02.005 ◽

2021 ◽

Author(s):

Ebru Canakci ◽

Murat Cihan ◽

Ali Altinbas ◽

Zubeyir Cebeci ◽

Ahmet Gultekin ◽

...

Keyword(s):

Inguinal Hernia ◽

Proinflammatory Cytokines ◽

Transversus Abdominis ◽

Controlled Study ◽

Tap Block ◽

Transversus Abdominis Plane ◽

Immunomodulatory Effects ◽

Ultrasound Guided ◽

Hernia Surgery ◽

Inguinal Hernia Surgery

Download Full-text

Comparison of efficacy of different concentration of bupivacaine in ultrasound-guided transversus abdominis plane (TAP) block for postoperative pain relief in lower segment cesarean section

MedPulse International Journal of Anesthesology ◽

10.26611/1015637 ◽

2018 ◽

Vol 6 (3) ◽

pp. 98-104

Author(s):

N Sathyan ◽

◽

Subha P D ◽

Murugan T ◽

◽

...

Keyword(s):

Postoperative Pain ◽

Pain Relief ◽

Cesarean Section ◽

Transversus Abdominis ◽

Postoperative Pain Relief ◽

Tap Block ◽

Transversus Abdominis Plane ◽

Ultrasound Guided ◽

Lower Segment ◽

Lower Segment Cesarean Section

Download Full-text

EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POST CESAREAN DELIVERY ANALGESIA

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2018.5.5 ◽

2018 ◽

Vol 8 (5) ◽

pp. 37-41

Author(s):

Minh Nguyen Van ◽

Nga Bui Thi Thuy ◽

Thinh Tran Xuan

Keyword(s):

Caesarean Section ◽

Visual Analogue Scale ◽

Analogue Scale ◽

Transversus Abdominis Plane Block ◽

Transversus Abdominis ◽

Morphine Consumption ◽

Block Group ◽

Tap Block ◽

Transversus Abdominis Plane ◽

Pain Scores

Background: The transversus abdominis plane block (TAP block), a regional block, provides effective analgesia after lower abdominal surgeries. The objective of this study was to assess whether transversus abdominis plane block is effective as part of multimodal pain management following Cesarean section. Materials and Method: Totally, 60 ASA I and II parturients for Cesarean section via Pfannenstiel incision under spinal anesthesia were randomly allocated to either the TAP block group or the control. The TAP block group received a landmark-orientated, bilateral TAP block with 0.25% levobupivacain 17,5ml each side in the triangle of Petit. Postoperative pain treatment followed the same protocole for both groups with 1gram paracetamol intravenously and received patrient-controlled analgesia with intravenous morphine. The time to first request of analgesic, morphine consumption, visual analogue scale (VAS) pain scores and side effects were scored at 2, 4, 6, 8, 12 h postoperatively. Results: The time to first request of analgesic was longer, morphine consumption was lower in TAP group than in the control (p < 0.05). Visual analogue scale (VAS) pain scores at rest and on mouvement were similar in two groups at 2h, but lower in TAP group from 4h (p < 0.05). No severe adverse effects were detected in two groups. Conclusion: TAP block prolonged the time to fisrt request of analgesic and reduced morphine consumption, the VAS pain scores significantly both at rest and on mouvement. Therefore, TAP block is feasible and effective as part of a multimodal analgesia regimen after Caesarean section. Key words: Caesarean section, multimodal pain management, transversus abdominis plane block

Download Full-text

Transversus abdominis Plane Block for Improved Early Postoperative Pain Management after Periacetabular Osteotomy: A Randomized Clinical Trial

Journal of Clinical Medicine ◽

10.3390/jcm10030394 ◽

2021 ◽

Vol 10 (3) ◽

pp. 394

Author(s):

Jannis Löchel ◽

Viktor Janz ◽

Vincent Justus Leopold ◽

Michael Krämer ◽

Georgi I. Wassilew

Keyword(s):

Postoperative Pain ◽

Periacetabular Osteotomy ◽

Opioid Consumption ◽

Transversus Abdominis ◽

Control Group ◽

Block Group ◽

Tap Block ◽

Transversus Abdominis Plane ◽

Ultrasound Guided ◽

Pain Scores

Background: Patients undergoing periacetabular osteotomy (PAO) may experience significant postoperative pain due to the extensive approach and multiple osteotomies. The aim of this study was to assess the efficacy of the transversus abdominis plane (TAP) block on reducing opioid consumption and improving clinical outcome in PAO patients. Patients and Methods: We conducted a two-group randomized-controlled trial in 42 consecutive patients undergoing a PAO for symptomatic developmental dysplasia of the hip (DDH). The study group received an ultrasound-guided TAP block with 20 mL of 0.75% ropivacaine prior to surgery. The control group did not receive a TAP block. All patients received a multimodal analgesia with nonsteroidal anti-inflammatory drugs (NSAID) (etoricoxib and metamizole) and an intravenous patient-controlled analgesia (PCA) with piritramide (1.5 mg bolus, 10 min lockout-time). The primary endpoint was opioid consumption within 48 h after surgery. Secondary endpoints were pain scores, assessment of postoperative nausea and vomiting (PONV), measurement of the quality of recovery using patient-reported outcome measure and length of hospital stay. Forty-one patients (n = 21 TAP block group, n = 20 control group) completed the study, per protocol. One patient was lost to follow-up. Thirty-three were women (88.5%) and eight men (19.5%). The mean age at the time of surgery was 28 years (18–43, SD ± 7.4). All TAP blocks were performed by an experienced senior anaesthesiologist and all operations were performed by a single, high volume surgeon. Results: The opioid consumption in the TAP block group was significantly lower compared to the control group at 6 (3 mg ± 2.8 vs. 10.8 mg ± 5.6, p < 0.0001), 24 (18.4 ± 16.2 vs. 30.8 ± 16.4, p = 0.01) and 48 h (29.1 mg ± 30.7 vs. 54.7 ± 29.6, p = 0.04) after surgery. Pain scores were significantly reduced in the TAP block group at 24 h after surgery. There were no other differences in secondary outcome parameters. No perioperative complication occurred in either group. Conclusion: Ultrasound-guided TAP block significantly reduces the perioperative opioid consumption in patients undergoing PAO.

Download Full-text