Surgery in the era of COVID-19: implications for laparoscopy and natural-orifice endoscopic surgery: a narrative review

Letter to the Editor: Evidence‐Based Management of Postoperative Pain in Adults Undergoing Laparoscopic Sleeve Gastrectomy

“…It was also indicated that port‐site infiltration is recommended over TAP blocks. In a recent meta‐analysis, we demonstrated that TAP block is superior to port‐site infiltration with respect to early pain control, opioid consumption, and patient satisfaction in adults undergoing minimally invasive surgery [3]. Moreover, laparoscopic‐guided technique (surgeon‐administered) was found to be equivalent to ultrasound‐guided technique (anesthesiologist‐administered) [3].…”

“…In a recent meta‐analysis, we demonstrated that TAP block is superior to port‐site infiltration with respect to early pain control, opioid consumption, and patient satisfaction in adults undergoing minimally invasive surgery [3]. Moreover, laparoscopic‐guided technique (surgeon‐administered) was found to be equivalent to ultrasound‐guided technique (anesthesiologist‐administered) [3]. The former method, however, may be more pragmatic, less time‐consuming, and more cost‐effective as it does not involve utilization of ultrasound equipments.…”

We Asked the Experts: Reducing Opioid Prescription After Abdominal Surgery; A Place for Nerve Block and Wound Infiltration

“…A recent meta‐analysis [3] concluded that both ultrasound‐guided and laparoscopic‐guided transversus abdominis plane (TAP) block equally achieved adequate control of early pain, reduced 24 h opioid consumption, and improved patients’ satisfaction after various laparoscopic procedures. TAP block has proved effective in pain control after surgery even in patients with increased body mass index.…”