Transversus abdominis plane (TAP) block for postoperative analgesia after laparoscopic cholecystectomy, a retrospective study

dc.contributor.authorYaman F.
dc.contributor.authorKaraca G.
dc.contributor.authorColak S.
dc.contributor.authorAtes G.
dc.contributor.authorPehlivanlı F.
dc.contributor.authorGencay I.
dc.contributor.authorAydın G.
dc.date.accessioned2020-06-25T15:18:14Z
dc.date.available2020-06-25T15:18:14Z
dc.date.issued2019
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: Laparoscopic cholecystectomy is a minimally invasive surgical procedure but it is still associated with postoperative pain within the first 24 hours. Ultrasound-guided transversus abdominis plane block is a regional anesthetic technique which provides postoperative analgesia in abdominal surgery. We aimed to determine the effects of the TAP block on discharge time, non-opioid and opioid consumption, shoulder tip pain, incidence of postoperative nausea and vomiting, and severity of pain evaluated with visual analogue scale in patients who underwent laparoscopic cholecystectomy. Methods: Seventy-two eligible patients who underwent laparoscopic cholecystectomy were included in the study. In 38 patients ultrasound-guided TAP block was performed, and 34 patients were treated with conventional methods such as non-steroid anti-inflamatory drugs. Data related to VAS pain scores, shoulder tip pain, intraoperative opioid consumption, postoperative non-opioid and opioid consumption, nausea vomiting and discharge time were collected retrospectively to determine statistically significant differences between TAP block and non-TAP block groups. Results: VAS pain scores were globally reduced at all time periods in two groups (significant group main effect, F(7.760)=94.47, P<0.001). VAS pain scores were significantly lower at all measurement intervals except 24h in the TAP group than in the non-TAP group. Shoulder pain was significantly higher in TAP block group than non-TAP block group (p<0.001). Any statistically significant difference was not found between the groups in terms of intraoperative, and postoperative opioid consumption, discharge time, nausea and vomiting. Conclusion: Ultrasound-guided TAP block is an effective regional analgesic technique to decrease postoperative abdominal pain, however TAP block does not reduce shoulder tip pain. Multimodal pain management is required after laparoscopic cholecystectomy. © Copyright Anesthesiology and Reanimation Specialists' Society.en_US
dc.identifier.citationYaman, F., Karaca, G., Çolak, S., Ateş, G., Pehlivanlı, F., Gençay, I., Aydın, G. (2019). Transversus Abdominis Plane (TAP) Block for Postoperative Analgesia After Laparoscopic Cholecystectomy, A Retrospective Study. Anestezi Dergisi, 27(4), 285 - 290.en_US
dc.identifier.doi10.5222/jarss.2019.83584
dc.identifier.endpage290en_US
dc.identifier.issn13000578
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85078845544
dc.identifier.scopusqualityQ4
dc.identifier.startpage285en_US
dc.identifier.trdizinid316922
dc.identifier.urihttps://doi.org/10.5222/jarss.2019.83584
dc.identifier.urihttps://hdl.handle.net/20.500.12587/2668
dc.identifier.volume27en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherAnestezi Dergisien_US
dc.relation.ispartofAnestezi Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLaparoscopic cholecystectomyen_US
dc.subjectPostoperative painen_US
dc.subjectRegional anesthesiaen_US
dc.subjectTAP blocken_US
dc.titleTransversus abdominis plane (TAP) block for postoperative analgesia after laparoscopic cholecystectomy, a retrospective studyen_US
dc.title.alternativeLaparoskopik Kolesistektomi Sonrası Postoperatif Ağrıda Transversus Abdominis Alan Bloğu, Retrospektif Bir Çalışmaen_US
dc.typeArticle

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