Evaluation of transversus abdominis plane (TAP) block in lipoabdominoplasty surgical procedure: a comparative study

Alotaibi, Nawaf Naif; Ahmad, Tawheed; Rabah, Sari M.; Hamza, Aljohara Mohmoud; Tafazul, Sheikh Mohammad

doi:10.1080/2000656x.2020.1856676

Cited by 8 publications

(16 citation statements)

References 15 publications

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“…Time to first analgesic (hours): Five studies including 244 patients (118 TAP block; 126 no TAP block) reported the time to first analgesic requirement. Using a random effects model, the use of TAP block was associated with a significantly longer time before the first analgesic was required (MD 5.01 hours, 95%CI 0.90-9.11 hours, p = 0.02) [ 3 , 12 , 14 , 16 , 19 ]. Results are shown in Figure 2 .…”

Section: Reviewmentioning

confidence: 99%

“…Mean total narcotic and opioid usage (mg): Five studies reported the mean total opioid use for analgesia. There was no significant difference between the use of TAP block and the absence of TAP block (MD -20.54 mg, 95%CI -46.89 mg to 5.81 mg, p = 0.13) [ 3 , 12 , 14 , 16 , 19 ]. Results are shown in Figure 4 .…”

Section: Reviewmentioning

confidence: 99%

“…This technique involves injecting a local anaesthetic agent into the neurovascular plane of the abdominal musculature, providing nerve blocks to the lower intercostal nerves, as well as the iliohypogastric and the ilioinguinal nerves between the subcostal margin and the iliac crest [ 1 ]. The TAP block is frequently used within general and obstetric-gynaecological surgery for common abdominal procedures, but its use in cosmetic abdominal surgery remains much less frequent [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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The Efficacy of the Transversus Abdominis Plane Block in Abdominoplasty: A Systematic Review and Meta-Analysis

Taha,

Hodson,

Tong

et al. 2023

Cureus

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The transversus abdominis plane (TAP) block is a regional abdominal anaesthetic technique frequently used within non-cosmetic abdominal surgery. Its use in cosmetic abdominoplasty procedures is less frequently documented. The literature is devoid of a meta-analysis to quantitatively amalgamate the results of individual reports analysing the efficacy of TAP block compared to alternative analgesic methods in abdominoplasty surgery. The authors aimed to conduct the first meta-analysis within the literature to evaluate this technique’s effectiveness in abdominoplasties. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were referred to conduct this systematic review and meta-analysis. All observational and randomised controlled trials (RCTs) comparing the postoperative outcomes of patients who underwent abdominoplasties with TAP blocks versus no TAP blocks were included in this study. The time taken to first analgesia and the amount of analgesia used were the primary outcome measures. The secondary outcome measures include severity of pain, time to mobilisation, and length of stay. Random effect modelling was used for the analysis. The time taken to the first analgesic was significantly lower in the TAP cohort (p <0.05). In addition, there was a lower incidence of postoperative nausea/vomiting(OR 0.18, 95%CI 0.04 - 0.90, p=0.04). Mean total opioid use and operative time were comparable between the TAP and no TAP groups. A qualitative review of the visual analogue scale for pain amongst the included studies showed that it was lower in the TAP group. The authors report the first meta-analysis within the literature showing the efficacy of the TAP block in abdominoplasties. Further high-quality trials are recommended to further the current evidence base.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Efficacy of the Transversus Abdominis Plane Block in Abdominoplasty: A Systematic Review and Meta-Analysis

Taha,

Hodson,

Tong

et al. 2023

Cureus

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“…Regional abdominal wall blocks could provide sufficient analgesia for the majority of patients after such procedures [3,4] . The administration of bupivacaine, a long-acting local anesthetic agent, into the proper neurovascular plane blocks voltage-gated ion channels causing decreased pain transmission, which could decrease the need for postoperative opioid analgesia [5] .…”

Section: Introductionmentioning

confidence: 99%

Dexmedetomidine plus Bupivacaine versus Bupivacaine Alone in Pararectus and Intercostal Blocks in Abdominoplasty: A Randomized Comparative Study

Ghareeb¹,

Askar²,

Ghanem³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Dexmedetomidine is known for its efficacy as a local anesthetic adjuvant. Herein, we studied the beneficial impact of adding dexmedetomidine to bupivacaine in combined intercostal and pararectus block in patients scheduled for abdominoplasty. Patients and methods: This prospective research enrolled 66 patients allocated into two groups; Group I included 33 patients who received combined intercostal and pararectus blocks using bupivacaine plus dexmedetomidine, and Group II included the remaining participants who received the same blocks using bupivacaine alone. Results: All preoperative patient demographic and clinical criteria expressed no significant difference between the two groups. Group I showed a significant decline in opioid requirements throughout the first postoperative day. The time to the first analgesic request showed a significant delay in Group I (14.73 vs 7.39 hours in Group II). Pain scores showed a significant decline in Group I during rest, cough, and movement, compared to Group II. O2 saturation, heart rate, and mean arterial pressure showed no significant difference between the two studied groups. Adding dexmedetomidine was not associated with a significant rise in the incidence of postoperative complications. Conclusion:The addition of dexmedetomidine to the local anesthetic agent during intercostal and pararectal blocks is associated with a better analgesic profile. It is associated with lower pain scores and lower morphine consumption without increased associated side effects.

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“…T he efficacy of transversus abdominis plane (TAP) blocks for patients undergoing abdominoplasty has been demonstrated in the literature, but this has generally been measured against either no blocks or saline placebo. [1][2][3] Several recent meta-analyses have also suggested benefits of TAP blocks [4][5][6] ; however, the evidence for superiority of TAP blocks over local infiltration field block is scarce. 7,8 Another recent meta-analysis called for further study of TAP blocks versus local anesthesia for specific procedures.…”

mentioning

confidence: 99%

Ultrasound-Guided Transversus Abdominis Plane Blocks Versus Local Infiltration Anesthesia on Postanesthesia Care Unit Pain Control in Patients Undergoing Abdominoplasty

Heffern,

Puyana,

Hajebian

et al. 2023

Ann Plast Surg

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Goals/Purpose The goal of this study was to compare ultrasound-guided transversus abdominis plane (TAP) blocks to local infiltration anesthesia with or without blind rectus sheath blocks in patients who underwent abdominoplasty at an outpatient surgery center. Methods/Technique A retrospective review was conducted of patients who underwent outpatient abdominoplasty performed by the senior surgeon (J.T.L.). Group 1 received local infiltration anesthesia with or without blind rectus sheath blocks between April 2009 and December 2013. Group 2 received surgeon-led, intraoperative, ultrasound-guided, 4-quadrant TAP blocks between January 2014 and December 2021. Outcomes measured were opioid utilization (morphine milligram equivalents), pain level at discharge, and time spent in postanesthesia care unit (PACU). Results Sixty patients in each of the 2 study groups met the study criteria for a total of 120 patients. The study groups were similar except for a lower average age in group 1. Patients who received TAP blocks (group 2) had significantly lower morphine milligram equivalent requirements in the PACU (3.07 vs 8.93, P = 0.0001) and required a shorter stay in PACU (95.4 vs 117.18 minutes, P = 0.0001). There were no significant differences in pain level at discharge. Conclusions Surgeon-led, intraoperative, ultrasound-guided, 4-quadrant TAP blocks statistically significantly reduced opioid utilization in PACU by 65.6% and average patient time in the PACU by 18.5% (21.8 minutes).

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Evaluation of transversus abdominis plane (TAP) block in lipoabdominoplasty surgical procedure: a comparative study

Cited by 8 publications

References 15 publications

The Efficacy of the Transversus Abdominis Plane Block in Abdominoplasty: A Systematic Review and Meta-Analysis

The Efficacy of the Transversus Abdominis Plane Block in Abdominoplasty: A Systematic Review and Meta-Analysis

Dexmedetomidine plus Bupivacaine versus Bupivacaine Alone in Pararectus and Intercostal Blocks in Abdominoplasty: A Randomized Comparative Study

Ultrasound-Guided Transversus Abdominis Plane Blocks Versus Local Infiltration Anesthesia on Postanesthesia Care Unit Pain Control in Patients Undergoing Abdominoplasty

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