scholarly journals AB061. Transversus abdominis plane block in laparoscopic bariatric surgery—a systematic review and meta-analysis of randomised controlled trials

2020 ◽  
Vol 4 ◽  
pp. AB061-AB061
Author(s):  
Awais Aamir ◽  
Shaheel Sahebally ◽  
Helen Heneghan
Keyword(s):  
Systematic Review ◽  
Bariatric Surgery ◽  
Randomised Controlled Trials ◽  
Meta Analysis ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Controlled Trials ◽  
Laparoscopic Bariatric Surgery ◽  
Transversus Abdominis Plane ◽  
Randomised Controlled

scholarly journals Transversus Abdominis Plane Block Appears to Be Effective and Safe as a Part of Multimodal Analgesia in Bariatric Surgery: a Meta-analysis and Systematic Review of Randomized Controlled Trials

2020 ◽  
Author(s):  
Mária Földi ◽  
Alexandra Soós ◽  
Péter Hegyi ◽  
Szabolcs Kiss ◽  
Zsolt Szakács ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Multimodal Analgesia ◽  
Transversus Abdominis ◽  
Controlled Trials ◽  
Laparoscopic Bariatric Surgery ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Randomized Controlled

Abstract Purpose Pain after bariatric surgery can prolong recovery. This patient group is highly susceptible to opioid-related side effects. Enhanced Recovery After Surgery guidelines strongly recommend the administration of multimodal medications to reduce narcotic consumption. However, the role of ultrasound-guided transversus abdominis plane (USG-TAP) block in multimodal analgesia of weight loss surgeries remains controversial. Materials and Methods A systematic search was performed in four databases for studies published up to September 2019. We considered randomized controlled trials that assessed the efficacy of perioperative USG-TAP block as a part of multimodal analgesia in patients with laparoscopic bariatric surgery. Results Eight studies (525 patients) were included in the meta-analysis. Pooled analysis showed lower pain scores with USG-TAP block at every evaluated time point and lower opioid requirement in the USG-TAP block group (weighted mean difference (WMD) = − 7.59 mg; 95% CI − 9.86, − 5.39; p < 0.001). Time to ambulate was shorter with USG-TAP block (WMD = − 2.22 h; 95% CI − 3.89, − 0.56; p = 0.009). This intervention also seemed to be safe: only three non-severe complications with USG-TAP block were reported in the included studies. Conclusion Our results may support the incorporation of USG-TAP block into multimodal analgesia regimens of ERAS protocols for bariatric surgery.

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