Transversus abdominis plane block for pain relief in patients undergoing in endoscopic repair of abdominal wall hernia: A comparative, randomised double-blind prospective study

Sinha, Aparna; Jayaraman, Lakshmi; Punhani, Dinesh; Chowbey, Pradeep

doi:10.4103/jmas.jmas_138_17

Cited by 18 publications

(11 citation statements)

References 19 publications

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“…It is also a helpful tool to assess post-operative pain in patients having complaints of abdominal pain or having undergone LC. 3,12 The Acute Abdominal Pain Study group also used this tool to assess the acute abdomen and found it a helpful diagnostic aide. 3 Like any other surgical phenomenon and preposition, many authors in the past believed that pressure is not a factor that causes post-operative pain.…”

Section: Discussionmentioning

confidence: 99%

Effects of Low and Standard Intra-Abdominal Pressure on Postoperative Pain in Laparoscopic Cholecystectomy

Ali

Hussain

Jamal

et al. 2022

PAFMJ

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Objective: To analyze the effects of low and standard intra-abdominal pressure on post-operative pain in laparoscopic cholecystectomy. Study Design: Comparative prospective study. Place and Duration of the Study: Department of General Surgery, Pak Emirates Military Hospital Rawalpindi, from Nov 2019 to Feb 2020. Methodology: The study comprised 53 patients who underwent Laparoscopic Cholecystectomy and were selected for the study. They were randomly divided into two groups by third-party randomization. The first group was operated on under low pneumatic pressure, i.e. 8-12 mmHg and the second group was operated on under high pneumatic pressure, i.e. (≥15 mmHg). The complaint of post-operative pain was evaluated using a visual analogue scale (VAS) in the next 12 hours. Results: The group that was operated under high pneumatic pressure showed a higher occurrence of post-operative pain (50.9%) than the group that operated under low pneumatic pressure. On the Visual Analogue Scale, 80.0% of patients with high pneumatic pressure showed a pain of score four or more which is very high compared to the other group (p <0.05). Conclusion: The patients operated for laparoscopic cholecystectomy under low-pressure pneumoperitoneum would suffer from less post-operative abdominal pain, which needs less analgesia and leads to early hospital discharge.

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Section: Discussionmentioning

confidence: 99%

Effects of Low and Standard Intra-Abdominal Pressure on Postoperative Pain in Laparoscopic Cholecystectomy

Ali

Hussain

Jamal

et al. 2022

PAFMJ

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“…However, its efficacy in TAP block was evaluated in a wide range of surgical procedures, including laparoscopic hernia repair, hysterectomy and caesarean section. An Indian study conducted on individuals undergoing laparoscopic repair of abdominal wall hernia under TAP block has reported significantly lower VAS scores with dexmedetomidine than with normal saline as adjuvant ( 21 ). Another Indian study on women undergoing caesarean section has reported longer time to request rescue analgesic and lesser dose of rescue analgesia with dexmedetomidine as adjuvant to bupivacaine in TAP block ( 22 ).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Dexmedetomidine as an Adjuvant to Bupivacaine in UltrasoundGuided Transverse Abdominis plane Block for Laparoscopic appendicectomy: A Randomised Controlled Study

Neethirajan

Kurada

Parameswari

2020

Turk J Anaesthesiol Reanim

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Objective Dexmedetomidine is an alpha 2-adrenergic agonist that prolongs analgesia as an adjuvant when added in neuraxial and peripheral nerve blocks. The aim of the present study was to evaluate the efficacy of dexmedetomidine as an adjuvant to bupivacaine in ultrasound (USG)-guided transverse abdominis plane (TAP) block for postoperative analgesia in laparoscopic appendicectomy. Methods A total of 60 American Society of Anesthesiologists I and II adult patients aged between 16 and 60 years planned for laparoscopic appendicectomy were randomised into two groups (A and B). Group A patients received 20 mL of 0.125% bupivacaine+1 μg kg −1 dexmedetomidine, whereas group B patients received 20 mL of 0.125% bupivacaine alone on both sides at the time of USG-guided TAP block. Haemodynamic variables, pain scores, sedation scores, time to first dose of rescue analgesic and side effects, if any, were assessed and compared between the groups. Results Demographic and operative characteristics were comparable in both groups. The mean duration of analgesia was more in group A (7.33 h) than in group B (4.8 h). The requirement of rescue analgesics was more in group B (80%) than in group A (56.7%). The sedation and pain scores at 2, 4 and 6 h were better in group A than in group B (p<0.05). The heart rate, systolic blood pressure and diastolic blood pressure were lower in group A during the postoperative period than in group B. Conclusion The addition of dexmedetomidine as an adjuvant to bupivacaine in TAP block provides prolonged postoperative analgesia and better pain control with reduced need for rescue analgesics than bupivacaine alone in patients undergoing laparoscopic appendicectomy.

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“…Our search yielded three relevant publications including a matched pair analysis (n = 52) on our own [ 21 ]. Two prospective randomized clinical trials (n = 80, laparoscopic ventral hernia repair in IPOM technique) revealed a significant pain reduction effect within 24 h after surgery [ 22 , 23 ]. On the contrary to that, our study group and Fields et al (2015) did not detect an IVG-TAP block impact on early postoperative pain and analgesic use [ 21 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-versus visual-guided transversus abdominis plane block prior to transabdominal preperitoneal ingunial hernia repair. A retrospective cohort study

Paasch

Fiebelkorn

Santo

et al. 2020

Annals of Medicine and Surgery

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Background The transversus abdominis plane block is a regional anesthesia technique. Recently, its impact on early chronic pain and the cumulative need of analgesic medication following inguinal hernia repair is being monitored. In terms of effectiveness and patient safety, it remains unclear whether the approach should be conducted preoperatively through ultrasound guidance, or through intraoperative visual guidance.The study at hand aims to provide more evidence on this topic. Methods A monocentric retrospective matched pair analysis was performed. The intraoperative visual guided and ultrasound guided -transversus abdominis plane block prior to inguinal hernia repair in transabdominal preperitoneal technique were consecutively compared in regard to analgesic effectiveness and complication rate. The data of individuals who were operated on from June 2007 to February 2019 were analyzed. The matching criteria were ASA-Score, Gender, Age ( ±6 years), and hernia size (<1,5 cm, 1,5-3 cm, >1,5 cm). Results A total of 116 patients were enrolled. Both groups were homogenous in terms of age, gender contribution, body mass index, ASA-Score, hernia type, and size. The pain score at the postoperative anesthesia care unit was lower in the ultrasound-guided-transversus abdominis plane group without being statistically significant (VAS-Score: 0.67 vs.0.84). Patients of the ultrasound-guided-transversus abdominis plane group received significantly less metamizole on the day of operation (1.29 g (0.96) vs. 1.68 g (0.70), p = 0.015). Conclusion Due to our findings, we assume that the ultrasound-guided-transversus abdominis plane -Block may reduce postoperative pain and analgesic consumption more effectively than the visual-guided-transversus abdominis plane lock. Further prospective clinical trials are mandatory.

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Transversus abdominis plane block for pain relief in patients undergoing in endoscopic repair of abdominal wall hernia: A comparative, randomised double-blind prospective study

Cited by 18 publications

References 19 publications

Effects of Low and Standard Intra-Abdominal Pressure on Postoperative Pain in Laparoscopic Cholecystectomy

Effects of Low and Standard Intra-Abdominal Pressure on Postoperative Pain in Laparoscopic Cholecystectomy

Efficacy of Dexmedetomidine as an Adjuvant to Bupivacaine in UltrasoundGuided Transverse Abdominis plane Block for Laparoscopic appendicectomy: A Randomised Controlled Study

Ultrasound-versus visual-guided transversus abdominis plane block prior to transabdominal preperitoneal ingunial hernia repair. A retrospective cohort study

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