Modified thoracoabdominal nerve block through perichondrial approach (M-TAPA) vs local infiltration for pain management after laparoscopic cholecystectomy surgery: a randomized study

Gungor, Hande; Çiftçi, Bahadır; Alver, Selcuk; Gölboyu, Birzat Emre; Özdenkaya, Yaşar; Tulgar, Serkan

doi:10.1007/s00540-022-03158-0

Cited by 15 publications

(18 citation statements)

References 24 publications

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“…This result differed from that reported by Güngör et al 8 However, they used twice as much LA in the M‐TAPA group (bupivacaine 100 mg) as in the LAI group (bupivacaine 50 mg). In contrast, we administered the same amount of ropivacaine in both groups.…”

Section: Discussioncontrasting

confidence: 79%

“…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%

“…The ultrasound‐guided procedure avoids penetration of the transversus abdominis muscle and peritoneum. Thus, M‐TAPA is a low‐risk technique and therefore, is an alternative analgesia technique for LC 8,17 …”

Section: Discussionmentioning

confidence: 99%

“…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 8 . Pain after LC is reported to be most intense during the first 2–3 days, characterized by incisional and visceral pain 9,10 …”

Section: Introductionmentioning

confidence: 99%

“…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. 8 Pain after LC is reported to be most intense during the first 2-3 days, characterized by incisional and visceral pain. 9,10 Since April 2021 we have performed pre-incisional M-TAPA in patients undergoing LC.…”

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: Discussioncontrasting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%