A randomized clinical study on postoperative pain comparing between the supraglottic airway device and endotracheal tubing in transabdominal preperitoneal repair (TAPP)

Nagahisa, Yoshio; Hashida, Kazuki; Matsumoto, Ryu; Kawashima, Ryuju; Okabe, Masaru; Kawamoto, Kazuyuki

doi:10.1007/s10029-017-1586-y

Cited by 6 publications

(10 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the LMA device could not be xed properly in one patient in our study, no aspiration or respiratory problems were observed. Similar rates were found compared to other studies in the literature [15][16][17]. Although ETT-GA is preferred as the ideal anesthesia method for endoscopic surgery, coughing and retching due to irritation may occur during the removal of the intubation tube after surgery.…”

Section: Discussionsupporting

confidence: 87%

“…Since these problems will be much less with the use of LMA, we prefer to use it to reduce post-operative pain. Nagahisa et al reported in a prospective randomized study that the use of supraglottic airway in TAP surgeries signi cantly reduced pain in the early postoperative period [15]. In our study, there was no statistically signi cant difference between the two groups in the 4th, 8th, 12th, and 24th hour VAS pain scores.…”

Section: Discussioncontrasting

confidence: 56%

“…However, endobronchial intubation is not uncommon, and ETT-GA may not be successful in di cult intubation situations [5][6][7][8][9][10]. LMA can overcome these problems even in obese patients undergoing laparoscopic abdominal surgery, trendelenburg position, and di cult airway conditions [15]. Although the LMA device could not be xed properly in one patient in our study, no aspiration or respiratory problems were observed.…”

Section: Discussionmentioning

confidence: 86%

“…Although ETT-GA is preferred as the ideal anesthesia method for endoscopic surgery, coughing and retching due to irritation may occur during the removal of the intubation tube after surgery. This causes pain in the operation area due to increased intra-abdominal pressure [15]. We use the LMA device to minimize this problem.…”

Section: Discussionmentioning

confidence: 99%

“…There are many studies in the literature regarding the use of LMA in laparoscopic abdominal surgeries [5][6][7][8][9][10]. While there are studies on the use of LMA in inguinal hernias in children [11,12], there is only one study on the TAPP technique in adults [15]. There is no LMA study on the TEP technique in the literature.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Laryngeal mask airway devices are a safe and effective method for anesthesia of laparoscopic extraperitoneal hernia repair surgery. A double blinded randomized prospective study.

Dönmez

Karabulut

Şahbaz

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Laparoscopic Total extraperitoneal hernia repair is widely used for the treatment of inguinal hernias all over the world. There are many studies in the literature showing advantages of the TEP method compared to open repair. Endotracheal intubation with general anesthesia is preferred in the TEP method. Sore throat, hoarseness, and pain in the early postoperative period may occur due to strain during removal of the endotracheal tube. We aimed to evaluate the efficacy and safety of using a laryngeal mask airway device (LMA) for general anesthesia in TEP surgery. Materials and Methods: We evaluated the operative outcomes of 130 patients with inguinal hernias repaired by TEP in our hospital between May 2021 and October 2021. A total of 130 adult patients of American Society of Anesthesiologists physical status I, II, and II who underwent TEP surgery were randomly allocated to one of two groups: group A (LMA-TEP), in which the patient’s airway was secured with an appropriately sized LMA, and group B (ETT-TEP), in which the ETT was secured under laryngoscopy. Results: There was no difference between the two groups in patient background, anatomical delineation satisfaction, surgery complications, hospital stay, or surgery time. The duration of anesthesia was significantly lower in the LMA group (p = 0.001). Although sore throats and dysphonia were less common in the LMA group, there was no statistically significant difference (p = 0.068 and p = 0.077, respectively). The 1st hour pain score was significantly lower in the LMA group (p = 0.019). There was no significant difference between the two groups in the postoperative 4th hour, 8th hour, 12th hour, and 24th hour pain scores. Conclusion: The results of this study are the first to show that an LMA device can reduce postoperative complications associated with endotracheal intubation during general anesthesia in TEP surgery.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Laryngeal mask airway devices are a safe and effective method for anesthesia of laparoscopic extraperitoneal hernia repair surgery. A double blinded randomized prospective study.

Dönmez

Karabulut

Şahbaz

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

The Effect of Combined Spinal Epidural Anesthesia on Shoulder Pain in Laparoscopic Extraperitoneal Hernia Surgery

Guzey,

Donmez,

Karabulut

et al. 2024

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

Background: Shoulder pain is a condition that seriously discomforts patients and develops caused by a peritoneal tear in laparoscopic extraperitoneal hernia repair (TEP) surgeries. Although surgeons generally prefer general anesthesia for the TEP technique, many studies have been carried out on the use of regional anesthesia in recent years. In our study, we aimed to investigate the efficacy and safety of the combined spinal/epidural anesthesia (CSEA) method to prevent shoulder pain in the TEP technique. Methods: The patients who operated with the TEP procedure were divided into 2 groups; SA (group 1) and CSEA (group 2). The 2 patient groups were compared in terms of sex, age, body mass index, duration of surgery, total operation time, patient satisfaction, pain scores, length of hospital stay, adverse effects, intraoperative, and postoperative complications. Results: The number of patients in group 1 was 42 and group 2 was 40. The mean operation time was recorded as 55.9 and 80.2 minutes in groups 1 and 2, respectively, which was statistically significantly shorter in group 1 (P<0.001). Postoperative pain was significantly less in group 2 for the 4th hour (P<0.0001) and the 12th hour (P=0.047). There was no difference between the 2 groups in terms of peritoneal tear (P=0.860). Intraoperative and postoperative shoulder pain was significantly less in group 2 (P=0.038, P=0015, respectively). Conclusion: CSEA is an effective and safe anesthesia method for preventing shoulder pain that develops after TEP surgeries.

show abstract

Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair Under Combined Spinal Epidural Anesthesia Versus General Anesthesia

Donmez,

Tulubas,

Bostanci

2024

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

Background: Inguinal hernia repair is one of the most frequently used elective surgical operations in the world. General anesthesia (GA) has risks and routine postoperative complications, such as nausea, vomiting, throat irritation, and postoperative pain. Regional anesthesia (RA) has many advantages over GA, such as faster recovery, less postoperative pain, nausea, and vomiting, and less hemodynamic compromise. We aimed to investigate the efficacy and safety of combined spinal and epidural anesthesia (CSEA) in preventing shoulder pain in patients undergoing totally extraperitoneal herniorrhaphy (TEP). Materials and Methods: The files of patients who had undergone the TEP method under GA and CSEA due to inguinal hernia between April 2020 and November 2021 at the Bakirköy Dr. Sadi Konuk Training and Research Hospital were reviewed retrospectively. Results: A total of 81 patients were included in the study. The number of patients operated on GA (group 1) was 40, and the number of patients operated under CSEA (group 2) was 41. There was no significant difference in the demographic characteristics of the patients. The surgical time was 42.9 and 42.5 minutes in groups 1 and 2, respectively (P=0.970). The mean operative time was recorded as 60.1 and 80.2 minutes in groups 1 and 2, respectively, and it was statistically significantly shorter in group 1 (P<0.001). A peritoneal tear was seen in 18 patients (43.90%) in the GA group and 16 patients (40%) in the CSEA group, but no significant difference was found between the groups (P=0.823). Mild shoulder pain that did not require intervention was observed in 1 patient (2.5%) in the CSEA group. In group 2, the VAS scores at all times and the need for postoperative analgesia were statistically significantly lower (P<0.001). In terms of anesthesia complications, headache was not observed in group 1, while it was seen in 6 (15%) patients in group 2 (P=0.012) Conclusions: In laparoscopic TEP surgeries, CSEA may be an alternative anesthesia method to GA anesthesia due to the low VAS score, less need for analgesia, and fewer postoperative pulmonary complications.

show abstract

A randomized clinical study on postoperative pain comparing between the supraglottic airway device and endotracheal tubing in transabdominal preperitoneal repair (TAPP)

Abstract: The results of this study are the first to show that an SGA device can reduce postoperative pain after laparoscopic surgery.

Cited by 6 publications

References 15 publications

Laryngeal mask airway devices are a safe and effective method for anesthesia of laparoscopic extraperitoneal hernia repair surgery. A double blinded randomized prospective study.

Laryngeal mask airway devices are a safe and effective method for anesthesia of laparoscopic extraperitoneal hernia repair surgery. A double blinded randomized prospective study.

The Effect of Combined Spinal Epidural Anesthesia on Shoulder Pain in Laparoscopic Extraperitoneal Hernia Surgery

Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair Under Combined Spinal Epidural Anesthesia Versus General Anesthesia

Contact Info

Product

Resources

About