Cadaveric investigation of the spread of the thoracoabdominal nerve block using the perichondral and modified perichondral approaches

Çiftçi, Bahadır; Alici, Hacı Ahmet; Ansen, Gamze; Sakul, Bayram Ufuk; Tulgar, Serkan

doi:10.4097/kja.22137

Cited by 17 publications

(6 citation statements)

References 5 publications

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“…In the M-TAPA block, LA is injected under the costal cartilage at the junction of the transversus abdominis muscle with the 10th rib and blocks the anterolateral cutaneous branches of the T5–T12/L1 thoracoabdominal nerves 15 . Ohgoshi et al, demonstrated that the M-TAPA block affects anterior branches of T6–T12 thoracoabdominal nerves 16 , whereas Bahadır et al, reported an effect in a wide dermatome area extending from T4 to T11–T12 17 .…”

Section: Discussionmentioning

confidence: 99%

Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy

Erten,

Kara,

Şimşek

et al. 2024

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: A new block, namely, modified thoracoabdominal nerves block through perichondrial approach, is administered below the costal cartilage. We sought to compare the analgesic efficacy of the modified thoracoabdominal nerves block through perichondrial approach block with local anesthetic infiltration at the port sites in an adult population who underwent laparoscopic cholecystectomy. METHODS: Patients who will undergo laparoscopic cholecystectomy were randomized to receive bilateral ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach blocks or local anesthetic infiltration at the port insertion sites. The primary outcome was the total amount of tramadol used in the first 12 h postoperatively. The secondary outcomes were total IV tramadol consumption for the first postoperative 24 h and visual analog scale scores. RESULTS: The modified thoracoabdominal nerves block through perichondrial approach group had significantly less tramadol use in the first 12 h postoperatively (p<0.001). The modified thoracoabdominal nerves block through perichondrial approach group's visual analog scale scores at rest (static) and with movement (dynamic) were significantly lower compared with the port infiltration group (p<0.05). CONCLUSION: Patients who received modified thoracoabdominal nerves block through perichondrial approach block had significantly less analgesic consumption and better pain scores than those who received port-site injections after laparoscopic cholecystectomy.

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Section: Discussionmentioning

confidence: 99%

Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy

Erten,

Kara,

Şimşek

et al. 2024

Rev. Assoc. Med. Bras.

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“…Ciftci et al reported that M-TAPA extended a large area over TAP in their cadaveric examination. 5 Aikawa et al performed sensory evaluation of M-TAPA in patients who underwent gynecological laparoscopic surgery. 6 They reported an average dermatomal area between T4‒L1 in the anterior and T4‒L1 in the lateral abdominal area.…”

Section: Discussionmentioning

confidence: 99%

“… 3 , 4 By injecting local anesthetic to the lower aspect of the costochondrium, M-TAPA targets T4/T5-T12/L1 thoracoabdominal nerves. 3 , 4 , 5 It provides abdominal analgesia by blocking anterior and lateral cutaneous branches. 2 , 3 , 4 , 5 , 6 Although there are reports about the analgesic efficacy of M-TAPA for minor and major abdominal surgeries, 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 randomized studies are limited.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of modified thoracoabdominal nerve block through perichondrial approach following laparoscopic inguinal hernia repair surgery: a randomized controlled trial

Alver

Çiftçi

Güngör

et al. 2023

Brazilian Journal of Anesthesiology (English Edition)

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“…Ciftci et al 12 performed a cadaveric investigation and they compared the spread of dye between TAPA and M-TAPA. They reported that there was dye on the thoracoabdominal nerves (T4-T12), and over external and internal oblique muscles.…”

Section: Discussionmentioning

confidence: 99%

Clinical Experience for Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) in Five Patients. Dermatomal Evaluation and Application of Different Volumes: A Case Series and Review of Literature

Çiftçi,

Güngör,

Alver

et al. 2023

TJAR

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Thoracoabdominal nerves block through perichondrial approach (TAPA) is a novel block and provides abdominal analgesia. TAPA block targets the both anterior and the lateral branches of the thoracoabdominal nerves. Modified-TAPA (M-TAPA) was defined due to the need for blocking certain dermatomes depending on the surgical incision sites. In the literature, the knowledge about the efficiency and dermatomal coverage of M-TAPA is limited. In this case series, we want to report our experiences with this issue.

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Cadaveric investigation of the spread of the thoracoabdominal nerve block using the perichondral and modified perichondral approaches

Cited by 17 publications

References 5 publications

Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy

Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy

Efficacy of modified thoracoabdominal nerve block through perichondrial approach following laparoscopic inguinal hernia repair surgery: a randomized controlled trial

Clinical Experience for Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) in Five Patients. Dermatomal Evaluation and Application of Different Volumes: A Case Series and Review of Literature

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