Feasibility and perioperative pain-relieving efficacy of ultrasound-guided transversus abdominis plane block in morbidly obese patients undergoing laparoscopic bariatric surgery

Sherif, Abeer A; Koptan, Hala M; Soliman, Samer M

doi:10.4103/2356-9115.161334

Cited by 6 publications

(1 citation statement)

References 2 publications

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“…More Abdominis Plane (TAP) block after bariatric surgery to a control group. Patients who received a TAP block had lower pain scores and lower opioid requirements postoperatively 50,51…”

Section: Discussionmentioning

confidence: 99%

Chronic abdominal pain after bariatric surgery: a narrative review

Vogelaerts¹,

Pachtenbeke²,

Raudsepp³

et al. 2022

Acta Anaest Belg

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Objective: This paper reviews the prevalence, etiology, risk factors, diagnosis and prevention of chronic abdominal pain after bariatric surgery. Introduction: Chronic pain is a very common and complex problem that has serious consequences on individuals and society. It frequently presents as a result of a disease or an injury. Obesity and obesity-related comorbidities are a major health problem and are dramatically increasing year after year. Dieting and physical exercise show disappointing results in the treatment of obesity. Therefore, bariatric surgery is increasingly widely offered as a weight reducing strategy. In our pain clinic we see a lot of patients who suffer from chronic abdominal pain after bariatric surgery. This review aims to explore the link between chronic abdominal pain and bariatric surgery in this specific type of patients. Method: The review is based on searches in PubMed, Embase and Cochrane databases. Keywords are used in different combinations. We did a cross-reference of the articles included. Results: Chronic abdominal pain after bariatric surgery is very common. Around 30% of the bariatric patients experience persistent abdominal pain. An explanation for the abdominal pain is found in 2/3 of these patients. There is a wide variety of causes including behavioral and nutritional disorders, functional motility disorders, biliary disorders, marginal ulceration and internal hernia. Another, frequently overlooked, cause is abdominal wall pain. Unexplained abdominal pain after bariatric surgery is present in 1/3 of the patients with persistent abdominal pain. More studies are needed on the risk factors and prevention of unexplained abdominal pain in bariatric patients.

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“…More Abdominis Plane (TAP) block after bariatric surgery to a control group. Patients who received a TAP block had lower pain scores and lower opioid requirements postoperatively 50,51…”

Section: Discussionmentioning

confidence: 99%

Chronic abdominal pain after bariatric surgery: a narrative review

Vogelaerts¹,

Pachtenbeke²,

Raudsepp³

et al. 2022

Acta Anaest Belg

View full text Add to dashboard Cite

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Efficacy of laparoscopic transversus abdominis plane block on postoperative pain management and surgery side effects in laparoscopic bariatric surgeries

Jalali

Bahri²,

Yazd

et al. 2022

Langenbecks Arch Surg

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Transversus Abdominis Plane Block Appears to Be Effective and Safe as a Part of Multimodal Analgesia in Bariatric Surgery: a Meta-analysis and Systematic Review of Randomized Controlled Trials

et al. 2020

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Purpose Pain after bariatric surgery can prolong recovery. This patient group is highly susceptible to opioid-related side effects. Enhanced Recovery After Surgery guidelines strongly recommend the administration of multimodal medications to reduce narcotic consumption. However, the role of ultrasound-guided transversus abdominis plane (USG-TAP) block in multimodal analgesia of weight loss surgeries remains controversial. Materials and Methods A systematic search was performed in four databases for studies published up to September 2019. We considered randomized controlled trials that assessed the efficacy of perioperative USG-TAP block as a part of multimodal analgesia in patients with laparoscopic bariatric surgery. Results Eight studies (525 patients) were included in the meta-analysis. Pooled analysis showed lower pain scores with USG-TAP block at every evaluated time point and lower opioid requirement in the USG-TAP block group (weighted mean difference (WMD) = − 7.59 mg; 95% CI − 9.86, − 5.39; p < 0.001). Time to ambulate was shorter with USG-TAP block (WMD = − 2.22 h; 95% CI − 3.89, − 0.56; p = 0.009). This intervention also seemed to be safe: only three non-severe complications with USG-TAP block were reported in the included studies. Conclusion Our results may support the incorporation of USG-TAP block into multimodal analgesia regimens of ERAS protocols for bariatric surgery.

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Feasibility and perioperative pain-relieving efficacy of ultrasound-guided transversus abdominis plane block in morbidly obese patients undergoing laparoscopic bariatric surgery

Cited by 6 publications

References 2 publications

Chronic abdominal pain after bariatric surgery: a narrative review

Chronic abdominal pain after bariatric surgery: a narrative review

Efficacy of laparoscopic transversus abdominis plane block on postoperative pain management and surgery side effects in laparoscopic bariatric surgeries

Transversus Abdominis Plane Block Appears to Be Effective and Safe as a Part of Multimodal Analgesia in Bariatric Surgery: a Meta-analysis and Systematic Review of Randomized Controlled Trials

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