The efficacy of transversus abdominis plane block for postoperative analgesia in laparoscopic cholecystectomy cases: a retrospective evaluation of 515 patients

• Published in: Journal of international medical research Vol. 48; no. 8; p. 300060520944058
• Main Authors: Tekeli, Arzu Esen, Eker, Esra, Bartin, Mehmet Kadir, Öner, Muzaffer Önder
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01-08-2020; Sage Publications Ltd; SAGE Publishing
• Subjects: Abdominal Muscles; Analgesia; Analgesics; Analgesics, Opioid; Cholecystectomy; Cholecystectomy, Laparoscopic; Humans; Laparoscopy; Pain; Pain Measurement; Pain, Postoperative - drug therapy; Pain, Postoperative - prevention & control; Retrospective Clinical Research Report; Retrospective Studies; Analgesia; transversus abdominis plane block; postoperative nausea; visual analogue scale pain scores; postoperative vomiting
• ISSN: 0300-0605; 1473-2300
• DOI: 10.1177/0300060520944058

Objective
To compare patients that received intravenous (i.v.) analgesics with those that received transversus abdominis plane (TAP) block for pain relief after laparoscopic cholecystectomy.
Methods
This retrospective study enrolled patients that had undergone laparoscopic cholecystectomy and divided them into two groups: the i.v. analgesic group (controls; group A) and the TAP block group (group T). Data retrieved from the medical records included postoperative visual analogue scale (VAS) pain scores, duration of intensive care unit (ICU) stay, total hospital stay, additional analgesic requirements and the occurrence of nausea and vomiting.
Results
A total of 515 patients were included (group A, n = 247; group T, n = 268). Postoperative VAS pain scores at 0, 2, 4 and 6 h and the need for additional analgesics were significantly lower in group T than in group A. Postoperative VAS pain scores at 12 and 24 h were significantly higher in group T than in group A. Postoperative nausea and vomiting were significantly lower in group T than in group A. The rate of ICU admission in group T was significantly lower than in group A.
Conclusions
Effective postoperative analgesia can be achieved with TAP block and undesirable effects can be reduced.