Transversus abdominis plane blocks in laparoscopic inguinal hernia repair: a review

Introduction Throughout its history, there have been significant advances in pain control of inguinal hernia repairs. One of the most recent developments is locoregional pain blocks. There is a multitude of literature available on laparoscopic inguinal hernia repair and transversus abdominis plane (...

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Bibliographic Details
Published in:	Hernia : the journal of hernias and abdominal wall surgery Vol. 27; no. 5; pp. 1059 - 1065
Main Authors:	Hubbard, G., Hubert, C., Vudayagiri, L., Tullington, J., Merino, K., Vaidya, A., Gemma, R.
Format:	Journal Article
Language:	English
Published:	Paris Springer Paris 01-10-2023 Springer Nature B.V
Subjects:	Abdominal Surgery Analgesics Anesthesia Hernia Hernias Laparoscopy Literature reviews Medicine Medicine & Public Health Pain Review Laparoscopy Regional anesthesia Transversus abdominis plane block Inguinal hernia Pain medicine
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Summary:	Introduction Throughout its history, there have been significant advances in pain control of inguinal hernia repairs. One of the most recent developments is locoregional pain blocks. There is a multitude of literature available on laparoscopic inguinal hernia repair and transversus abdominis plane (TAP) blocks. Objectives This paper seeks to provide a thorough and systematic literature review on the role of TAP blocks in laparoscopic inguinal hernia repairs. Methods PubMed and Google Scholar were searched for relevant literature using predetermined medical subject heading (MeSH) terms: “(TAP block)” AND “(Laparoscopic inguinal hernia repair)”. Results A total of 166 publications were identified, from which 18 publications were included in the final review after eligibility criteria were applied. Conclusion The majority of studies conclude that TAP blocks performed in the setting of laparoscopic inguinal hernia repair improve post-operative pain and mobility, decrease opiate analgesic usage, and are superior in pain control compared to other modalities of regional anesthesia. Thus, to improve post-operative outcomes and patient satisfaction, TAP blocks should be heavily considered for routine use in surgical practice for laparoscopic inguinal hernia repair.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	1248-9204 1265-4906 1248-9204
DOI:	10.1007/s10029-023-02831-x