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Pain control and analgesic requirements following laparoscopy-assisted transversus abdominus plane (TAP) block compared to port site infiltration post-paediatric laparoscopic appendicectomy. A Randomised controlled trial.
Pediatr Surg Int
January 2025
Department of Paediatric Surgery, Children's Health Ireland at Crumlin, Dublin, Ireland.
Background: Appendicectomy is a common procedure in children. Regional anaesthesia helps reduce requirements for opioids and hospital stay and enhances recovery. Laparoscopic-assisted Transversus Abdominus Plane block (L-TAP) was shown to be efficient and potentially superior to port site infiltration (PSI); however, this was not previously studied in paediatric appendicitis.
View Article and Find Full Text PDFBackground: Laparoscopic-assisted (LTAP) and ultrasound-guided (UTAP) transversus abdominis plane (TAP) blocks are widely used for postoperative analgesia in laparoscopic cholecystectomy (LC), yet their comparative effectiveness remains unclear. The aim of this meta-analysis was to systematically evaluate and compare postoperative outcomes of LTAP and UTAP in LC.
Materials And Methodology: A comprehensive literature search of five electronic databases was conducted from the inception of the paper till 2 June 2024 following PRISMA guidelines.
Transversus abdominis plane block in minimally invasive colon surgery: a multicenter three-arm randomized controlled superiority and non-inferiority clinical trial.
Reg Anesth Pain Med
January 2025
Department of Surgery, Copenhagen University Hospital - North Zealand, Hillerød, Denmark.
Background And Objectives: The transversus abdominis plane (TAP) block is the most widely used abdominal field block in colorectal surgery with a postoperative enhanced recovery pathway. We aimed to determine whether the laparoscopic-assisted and ultrasound-guided TAP (US-TAP) blocks provide superior pain relief compared with placebo. We separately investigated whether the laparoscopic-assisted technique was non-inferior to the ultrasound-guided technique in providing pain relief, with a non-inferiority margin of 10 mg morphine dose equivalents.
View Article and Find Full Text PDFLaparoscopic-Assisted, Percutaneous Cryoablation: A Novel Technique for the Treatment of Abdominal Wall Soft Tissue Tumors.
Ann Surg Oncol
January 2025
Department of Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC, USA.
Introduction: Percutaneous cryoablation is a first-line therapeutic option for primary neoplasms and metastatic lesions of the musculoskeletal system. Treatment of abdominal wall tumors is challenging as surgical resection can be highly morbid and necessitate complex reconstructive surgery; the efficacy of cryoablation for abdominal wall tumors may be limited by inadequate posterior margins owing to the proximity of intra-abdominal organs. With laparoscopy and insufflation, peritoneal structures can be safely mobilized away from the abdominal wall, allowing for adequate deep margin freeze and visualization of the ice ball.
View Article and Find Full Text PDFCutaneous sensory block area of the laparoscopic-assisted transversus abdominis plane block.
Dan Med J
September 2024
Department of Surgery, Copenhagen University Hospital - North Zealand Hospital, Hillerød.
Article Synopsis
- The study examines the effectiveness of a laparoscopic-assisted transversus abdominis plane (L-TAP) block for pain management in patients undergoing laparoscopic cholecystectomy, focusing on its sensory block area.
- Thirty patients were assessed for cutaneous sensory block area (CSBA) post-procedure, revealing a median area of 161 cm² predominantly covering the epigastric region.
- The results suggest that the subcostal bilateral dual L-TAP yields a variable and mainly non-dermatomal sensory block, supporting findings from existing literature on ultrasound-guided techniques.
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