Modified Thoracoabdominal Nerve Block Through the Perichondral Approach (M-TAPA) in Laparoscopic Sleeve Gastroplasty: A Case Series

Oliveira, Eduardo José Silva Gomes de; Lima, Roclides Castro de; Sakata, Rioko Kimiko; Freire, Thyago Trisotto; Lima, Eduardo Leitão de Almeida; Oliveira, Clair Motos de; Moura, Ed Carlos Rey; Leal, Plínio da Cunha

doi:10.1007/s11695-021-05612-6

Cited by 10 publications

(8 citation statements)

References 13 publications

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“…The multiple‐injection technique and the oblique subcostal TAP block can provide broad‐spectrum analgesia but require multiple punctures or a longer needle 2,12,13 . In contrast, M‐TAPA is advantageous because it provides broad (Th7–11) analgesia with only a single injection of LA 5,8,14–17 …”

Section: Discussionmentioning

confidence: 99%

“…2,12,13 In contrast, M-TAPA is advantageous because it provides broad (Th7-11) analgesia with only a single injection of LA. 5,8,[14][15][16][17] Another advantage of M-TAPA is its longer analgesic period and safety. The analgesic duration of LAI is only for 2-3 hours, whereas it is approximately 14 hours at M-TAPA.…”

Section: Discussionmentioning

confidence: 99%

“…(1) no clear perioperative data; (2) not undergoing preoperative M-TAPA but other regional nerve blocks or postoperative M-TAPA; (3) not being administered intraoperative LA, intravenous acetaminophen or opioids; (4) being administered intraoperative nonsteroidal anti-inflammatory drugs(NSAIDs); (5) with scheduled analgesic drug use; and (6) with postoperative infections or reoperations.…”

Section: Study Design and Populationmentioning

confidence: 99%

“…Recently, Tulgar et al reported a thoracoabdominal nerve block through the perichondral approach (TAPA), wherein local anesthetics (LAs) are applied to the inferior and superior surfaces of the cartilage of the costochondral angle to provide widespread analgesia in the abdomen 3 . In addition, good analgesic effects have also been reported with modified TAPA (M‐TAPA), wherein LA is applied only to the subchondral surface; and there are diverse case reports of its reliable analgesia at Th8–11 in laparoscopic and open surgery 4–7 …”

Section: Introductionmentioning

confidence: 99%

“…3 In addition, good analgesic effects have also been reported with modified TAPA (M-TAPA), wherein LA is applied only to the subchondral surface; and there are diverse case reports of its reliable analgesia at Th8-11 in laparoscopic and open surgery. [4][5][6][7] In the PROSPECT review, the effectiveness of M-TAPA in LC has not been frequently reported as previous reports mostly focused on TAP block in LC. Güngör et al showed that postoperative M-TAPA provided effective analgesia in patients undergoing LC compared with LAI, but there was no significant difference 24 hours after surgery.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Analgesic efficacy of modified thoracoabdominal nerves block through the perichondrial approach in laparoscopic cholecystectomy: A retrospective study with propensity analysis

Matsuura

Terada

Rokkaku

et al. 2023

Asian J Endoscop Surgery

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Modified thoracoabdominal nerves block through the perichondral approach (M-TAPA) was recently reported to provide broad analgesia with only a single injection of local anesthetics (LA) on each side. However, the effectiveness of M-TAPA in laparoscopic cholecystectomy (LC) is not often reported. We retrospectively evaluated the analgesic efficacy of M-TAPA in patients who underwent LC and compared it with conventional LA infiltration (LAI) by calculating the propensity score. The primary outcome was the frequency of analgesic use after surgery. Although there was no difference in the frequency of analgesic use within 48 hours (P = .063), there was significantly less analgesic use 24-48 hours after surgery in the TAPA group (P = .02). Intraoperative remifentanil administration also significantly decreased in the TAPA group (P < .001). We found that preincisional M-TAPA may have an advantage over LAI with respect to analgesia on postoperative day 1.laparoscopic cholecystectomy, modified thoracoabdominal nerves block through the perichondral approach (M-TAPA), pre-emptive analgesia

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Section: Discussionmentioning

confidence: 99%