Τίτλος:
The Effect of Intraoperative Transversus Abdominis Plane Blocking on
Postoperative Pain After Laparoscopic Transabdominal Pre-peritoneal
(TAPP) Groin Hernia Repair
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
BackgroundManaging postoperative pain even after laparoscopic groin
hernia repair still remains an interesting challenge for clinicians
especially for patients of high risk. Plenty of operative techniques and
analgesic methods have been proposed in order to minimize postoperative
pain after laparoscopic groin hernia repair. The aim of the present
study is to compare transverse abdominis plane (TAP)-block with local
analgesic infiltration at trocar entry sites in the terms of reducing
postoperative pain. MethodsPatients that underwent laparoscopic
trans-abdominal pre-peritoneal (TAPP) groin hernia repair in a
high-volume university hospital were included. Patients were divided in
two groups depending on the analgesic method used. Pain was assessed
using Visual Numerical Scale (VNS) score. ResultsThirty patients were
included. Intraoperative TAP-block seemed to be superior in terms of
decreasing pain at the hernia area and at the trocar insertion site (p <
0.05) compared to local analgesic infiltration at the trocar insertion
site at 6, 12 and 24 h after surgery (p < 0.05). In addition, pain
reduction was more effective in rest rather than in motion for both
analgesic methods. ConclusionIntraoperative TAP-block under direct
vision seems to be an effective, fast and easy technique in order to
reduce postoperative pain after laparoscopic groin hernia repair, but
more studies are required to validate these results in a prospective and
randomized context.
Συγγραφείς:
Chamzin, Alexandros
Frountzas, Maximos
Gkiokas, George and
Kouskouni, Evaggelia
Xanthos, Theodoros
Michalopoulos, Nikolaos
V.
Περιοδικό:
FRONTIERS IN SURGERY
Εκδότης:
Frontiers Media SA
Λέξεις-κλειδιά:
laparoscopy; groin hernia; analgesia; transversus abdominal plane; block
DOI:
10.3389/fsurg.2022.834050
