Bilateral transversus abdominis plane block does not decrease postoperative pain after laparoscopic cholecystectomy when compared with local anesthetic infiltration of trocar insertion sites

Regional Anesthesia and Pain Medicine
Jaime OrtizRaja R Palvadi

Abstract

Transversus abdominis plane (TAP) block has been shown to reduce pain and analgesic requirements after abdominal surgery. Our hypothesis was that bilateral TAP blocks decrease pain after laparoscopic cholecystectomy when compared with local anesthetic infiltration of trocar insertion sites. Eighty patients undergoing laparoscopic cholecystectomy were randomized to receive either bilateral TAP blocks or local anesthetic infiltration of trocar insertion sites with ropivacaine 0.5%. Postoperative pain scores and analgesic use for the first 24 hrs were recorded. Eighty patients were enrolled in the study. After exclusions, data were analyzed on 39 patients in group T (bilateral TAP block) and 35 patients in group I (infiltration). There was no statistically significant difference in pain scores on the numeric analog scale (0-10) between the groups at 4 hrs after surgery (P = 0.18) or during the 24 hrs after surgery (P = 0.23). The time interval from anesthesia start to surgery start was greater in group T than group I (48 vs 35 mins, P < 0.001). There was no significant difference found in analgesic use during the first 24 hrs after surgery. Bilateral ultrasound-guided TAP block is equivalent to local anesthetic infiltration of tro...Continue Reading

References

Sep 29, 2001·Anaesthesia·G Samsoon, K Grewal
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Citations

Aug 19, 2015·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Alireza SaliminiaAli Movafegh
Apr 16, 2014·Journal of Hepato-biliary-pancreatic Sciences·Noriaki KameyamaShunichi Imai
Feb 19, 2015·British Journal of Anaesthesia·J KesslerM W Hollmann
Jul 1, 2015·Brazilian Journal of Anesthesiology·Javier RipollésJosé Calvo
Jul 7, 2015·Revista brasileira de anestesiologia·Javier RipollésJosé Calvo
Jun 17, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Etrusca BrogiThomas M Hemmerling
Jan 14, 2017·Regional Anesthesia and Pain Medicine·Ki Jinn ChinJeffrey Gadsden
Dec 13, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A RashidN A Crabtree
Sep 11, 2013·Journal of the Korean Surgical Society·Sooyoung ChoSoon-Sup Chung
Aug 24, 2012·Current Opinion in Anaesthesiology·Olivia Finnerty, John G McDonnell
Jul 10, 2019·Anesthesiology·De Q TranJoseph M Neal
Dec 24, 2014·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Serdar KokuluRemziye Gül Sıvacı
Oct 5, 2018·Langenbeck's Archives of Surgery·Thomas M Hemmerling
Apr 5, 2019·Minerva anestesiologica·Jaime Ruiz-TovarFlaminia Coluzzi
Jan 26, 2021·Journal of Anaesthesiology, Clinical Pharmacology·Seema JindalRupali Mahajan
Oct 31, 2020·Local and Regional Anesthesia·James Harvey Jones, Robin Aldwinckle

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