The surgical transversus abdominis plane block-a novel approach for performing an established technique

Owen, DJ; Harrod, I.; Ford, Justin G.; Luckas, Michael; Gudimetla, Veera

doi:10.1111/j.1471-0528.2010.02779.x

Cited by 64 publications

(39 citation statements)

References 6 publications

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“…In year 2011, Owen et al [5] described a new approach: TAP block under direct vision in open surgery they concluded that the risks associated with the conventional approach could be prevented with this easy technique. In the same year, Magee et al [6], reported a single case based on the same idea.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of laparoscopic transversus abdominis plane block for elective laparoscopic cholecystectomy in elderly patients

Tıhan¹,

Totoz

Tokoçin

et al. 2016

Bosn J of Basic Med Sci

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Transversus abdominis plane (TAP) block technique seems to off er one of the most effi cient methods for a local pain control. Our aim is to demonstrate the eff ectiveness and safety of TAP block for post-operative pain control under laparoscopic vision in elderly patients during laparoscopic cholecystectomy. Th e patients aged more than 65 years old, who had cholecystectomy due to symptomatic cholelithiasis, were retrospectively evaluated. Th e patients that were operated under general anesthesia + laparoscopic TAP block and those who were operated only under only general anesthesia were compared according to their' age and gender, comorbidities, American Society of Anesthesiologists scores, visual analog scale (VAS) for pain and length of stay in the hospital. Median (±interquartile range) values of post-operative 24 th -hour-VAS for pain was found consecutively 2 (±1-3) in TAP block + group and 3 (±2-5) in TAP block -group. Th e median post-operative 24 th -hour-VAS value in overall patients was three. Patients' VAS values were higher in the TAP block -group with a statistically signifi cant diff erence (p = 0.001). Furthermore, no statistically signifi cant diff erence was found for other parameters in two groups. Th e laparoscopic-guided TAP block can easily be performed and has potential for lower visceral injury risk and shorter operational time. Effi cacy, safety and other advantages (analgesic requirements, etc.) make it an ideal abdominal fi eld block in elderly patients.

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Section: Discussionmentioning

confidence: 99%

“…So far, transversus abdominis plane (TAP) block technique which was first reported by Rafi [4], seems to offer an effective local pain control to the patients. Owen et al [5] first described the open surgical approach for TAP block. A few years later, in 2011, pure laparoscopic TAP block was reported as a new technique [6].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of laparoscopic transversus abdominis plane block for elective laparoscopic cholecystectomy in elderly patients

Tıhan¹,

Totoz

Tokoçin

et al. 2016

Bosn J of Basic Med Sci

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“…53 An alternative technique has been described in open abdominal surgery, where the wound edges are retracted and a needle inserted from the interior of the abdomen through the parietal peritoneum and into the TAP as signaled by a single tactile pop. [54][55][56] Finally, a technique of surgical dissection into the TAP, followed by direct injection or placement of a catheter, has been described in abdominoplasty 57 and abdominal flap breast reconstruction surgery. 58 Advantages cited for the surgical approach include better matching of the site of injection to site of surgery, ease and speed of performance, and accuracy of injection into the correct tissue plane.…”

Section: Surgical Tap Blockmentioning

confidence: 99%

Essentials of Our Current Understanding

Chin

McDonnell

Carvalho

et al. 2017

Regional Anesthesia and Pain Medicine

362

208

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Abdominal wall blocks rely on the spread of local anesthetic within musculofascial planes to anesthetize multiple small nerves or plexuses, rather than targeting specific nerve structures. Ultrasonography is primarily responsible for the widespread adoption of techniques including transversus abdominis plane and rectus sheath blocks, as well as the introduction of novel techniques such as quadratus lumborum and transversalis fascia blocks. These blocks are technically straightforward and relatively safe and reduce pain and opioid requirements in many clinical settings. The data supporting these outcomes, however, can be inconsistent because of heterogeneity of study design. The extent of sensory blockade is also somewhat variable, because it depends on the achieved spread of local anesthetic and the anatomical course of the nerves being targeted. The blocks mainly provide somatic analgesia and are best used as part of a multimodal analgesic regimen. This review summarizes the anatomical, sonographic, and technical aspects of the abdominal wall blocks in current use, examining the current evidence for the efficacy and safety of each.

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“…More recently, a surgical TAP block utilizing a transperitoneal approach was also described. Performed intraoperatively, a blunt-tipped block needle was advanced from inside the abdominal wall through the parietal peritoneum, then the transversus abdominis muscle, and into the TAP as indicated by a single pop sensation [17, 18]. In addition, Araco et al described a surgical TAP block in which blunt dissection through the external and internal oblique muscles leads to injection of local anesthetic into the TAP under direct visualization [19].…”

Section: Techniquementioning

confidence: 99%

Clinical Implications of the Transversus Abdominis Plane Block in Adults

Young

Gorlin

Modest

et al. 2012

Anesthesiology Research and Practice

122

124

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The transversus abdominis plane (TAP) block is a relatively new regional anesthesia technique that provides analgesia to the parietal peritoneum as well as the skin and muscles of the anterior abdominal wall. It has a high margin of safety and is technically simple to perform, especially under ultrasound guidance. A growing body of evidence supports the use of TAP blocks for a variety of abdominal procedures, yet, widespread adoption of this therapeutic adjunct has been slow. In part, this may be related to the limited sources for anesthesiologists to develop an appreciation for its sound anatomical basis and the versatility of its clinical application. As such, we provide a brief historical perspective on the TAP block, describe relevant anatomy, review current techniques, discuss pharmacologic considerations, and summarize the existing literature regarding its clinical utility with an emphasis on recently published studies that have not been included in other systematic reviews or meta-analyses.

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The surgical transversus abdominis plane block-a novel approach for performing an established technique

Cited by 64 publications

References 6 publications

Efficacy of laparoscopic transversus abdominis plane block for elective laparoscopic cholecystectomy in elderly patients

Efficacy of laparoscopic transversus abdominis plane block for elective laparoscopic cholecystectomy in elderly patients

Essentials of Our Current Understanding

Clinical Implications of the Transversus Abdominis Plane Block in Adults

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