The efficacy of transversus abdominis plane block for postoperative analgesia in laparoscopic cholecystectomy cases: a retrospective evaluation of 515 patients
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 divide...
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| Published in: | Journal of international medical research Vol. 48; no. 8; p. 300060520944058 |
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| Main Authors: | , , , |
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| Language: | English |
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SAGE Publications
01-08-2020
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| Abstract | 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. |
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| AbstractList | OBJECTIVETo compare patients that received intravenous (i.v.) analgesics with those that received transversus abdominis plane (TAP) block for pain relief after laparoscopic cholecystectomy. METHODSThis 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. RESULTSA 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. CONCLUSIONSEffective postoperative analgesia can be achieved with TAP block and undesirable effects can be reduced. 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. To compare patients that received intravenous (i.v.) analgesics with those that received transversus abdominis plane (TAP) block for pain relief after laparoscopic cholecystectomy. 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. A total of 515 patients were included (group A, = 247; group T, = 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. Effective postoperative analgesia can be achieved with TAP block and undesirable effects can be reduced. 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. |
| Author | Eker, Esra Öner, Muzaffer Önder Bartin, Mehmet Kadir Tekeli, Arzu Esen |
| Author_xml | – sequence: 1 givenname: Arzu Esen orcidid: 0000-0001-6468-8850 surname: Tekeli fullname: Tekeli, Arzu Esen email: esentekeli190807@hotmail.com organization: Department of Anaesthesiology and Reanimation, Van Yuzuncu Yil University School of Medicine, Van, Turkey – sequence: 2 givenname: Esra surname: Eker fullname: Eker, Esra organization: Department of Anaesthesiology and Reanimation, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey – sequence: 3 givenname: Mehmet Kadir surname: Bartin fullname: Bartin, Mehmet Kadir organization: Department of General Surgery, Health Sciences University Van Training and Research Hospital, Van, Turkey – sequence: 4 givenname: Muzaffer Önder surname: Öner fullname: Öner, Muzaffer Önder organization: Department of General Surgery, Health Sciences University Van Training and Research Hospital, Van, Turkey |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32787595$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_pcorm_2024_100386 crossref_primary_10_4103_ija_ija_205_23 crossref_primary_10_1007_s00104_022_01608_9 crossref_primary_10_3390_jcm11236896 crossref_primary_10_1007_s11605_022_05450_6 crossref_primary_10_1155_2023_8864012 |
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| Keywords | Analgesia transversus abdominis plane block postoperative nausea visual analogue scale pain scores postoperative vomiting |
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| Snippet | Objective
To compare patients that received intravenous (i.v.) analgesics with those that received transversus abdominis plane (TAP) block for pain relief... To compare patients that received intravenous (i.v.) analgesics with those that received transversus abdominis plane (TAP) block for pain relief after... Objective To compare patients that received intravenous (i.v.) analgesics with those that received transversus abdominis plane (TAP) block for pain relief... OBJECTIVETo compare patients that received intravenous (i.v.) analgesics with those that received transversus abdominis plane (TAP) block for pain relief after... |
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| SubjectTerms | 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 |
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| Title | The efficacy of transversus abdominis plane block for postoperative analgesia in laparoscopic cholecystectomy cases: a retrospective evaluation of 515 patients |
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