ASSESSMENT OF THE EFFICIENCY OF ANALGETIC ACTION OF LAPAROSCOPICALLY ASSISTED TAP BLOCK AS A COMPONENT OF PERIOPERATIVE MULTIMODAL ANALGESIA PLAN IN OBESE PATIENTS UNDERGOING METABOLIC SURGERY
The aim: To assess the effectiveness and feasibility of laparoscopically assisted TAP block utilization in the system of multimodal analgesia by comparing the severity of pain and associated postoperative recovery indicators in obese patients after laparoscopic sleeve gastrectomy. Materials and meth...
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| Veröffentlicht in: | Wiadomości lekarskie (1960) 2023, Vol.76 (5 pt 2), p.1259-1264 |
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| container_title | Wiadomości lekarskie (1960) |
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| creator | Todurov, Ivan M Perekhrestenko, Oleksandr V Kosiukhno, Sergii V Yevsieieva, Viktoriia V Lisun, Yurii B |
| description | The aim: To assess the effectiveness and feasibility of laparoscopically assisted TAP block utilization in the system of multimodal analgesia by comparing the severity of pain and associated postoperative recovery indicators in obese patients after laparoscopic sleeve gastrectomy.
Materials and methods: The retrospective study included 39 patients, who underwent metabolic surgery from 2013-2022. All patients were divided into 2 groups depending on the chosen perioperative analgesia protocol. Group 1 included 19 patients who prior to skin incision a local infiltration of the trocar puncture areas of the abdominal wall. Group 2 included 20 patients, whom in addition to the above-described anaesthesia procedure after completion of the main stage of surgery, a laparoscopically assisted bilateral subcostal TAP block was additionally performed.
Results: The need to use opioid analgesics in the rescue analgesia mode arose in 17.6% (3/17) of patients of the first group, and 5% (1/20) of patients in the second group Average duration of postoperative hospitalization in group 1 was 7.2±1.1 days, and in group 2 it was 6.2±1.4 days (P |
| doi_str_mv | 10.36740/WLek202305219 |
| format | Article |
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Materials and methods: The retrospective study included 39 patients, who underwent metabolic surgery from 2013-2022. All patients were divided into 2 groups depending on the chosen perioperative analgesia protocol. Group 1 included 19 patients who prior to skin incision a local infiltration of the trocar puncture areas of the abdominal wall. Group 2 included 20 patients, whom in addition to the above-described anaesthesia procedure after completion of the main stage of surgery, a laparoscopically assisted bilateral subcostal TAP block was additionally performed.
Results: The need to use opioid analgesics in the rescue analgesia mode arose in 17.6% (3/17) of patients of the first group, and 5% (1/20) of patients in the second group Average duration of postoperative hospitalization in group 1 was 7.2±1.1 days, and in group 2 it was 6.2±1.4 days (P <0.05).
Conclusions: Subcostal TAP block in obese patients is a safe and effective method of regional anaesthesia. Further study of this option of regional anaesthesia is required in order to be able to form clearer recommendations for its routine use in clinical practice.</description><identifier>ISSN: 0043-5147</identifier><identifier>DOI: 10.36740/WLek202305219</identifier><identifier>PMID: 37364082</identifier><language>eng</language><publisher>Poland</publisher><subject>Analgesia - methods ; Bariatric Surgery - methods ; Humans ; Laparoscopy - methods ; Obesity - complications ; Obesity - surgery ; Pain, Postoperative - drug therapy ; Retrospective Studies</subject><ispartof>Wiadomości lekarskie (1960), 2023, Vol.76 (5 pt 2), p.1259-1264</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c165t-1d6b94299c82cf6d8c6795c345aa6ed73c1694334ac563568d83a2c4d4a4c6033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4009,27902,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37364082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Todurov, Ivan M</creatorcontrib><creatorcontrib>Perekhrestenko, Oleksandr V</creatorcontrib><creatorcontrib>Kosiukhno, Sergii V</creatorcontrib><creatorcontrib>Yevsieieva, Viktoriia V</creatorcontrib><creatorcontrib>Lisun, Yurii B</creatorcontrib><title>ASSESSMENT OF THE EFFICIENCY OF ANALGETIC ACTION OF LAPAROSCOPICALLY ASSISTED TAP BLOCK AS A COMPONENT OF PERIOPERATIVE MULTIMODAL ANALGESIA PLAN IN OBESE PATIENTS UNDERGOING METABOLIC SURGERY</title><title>Wiadomości lekarskie (1960)</title><addtitle>Wiad Lek</addtitle><description>The aim: To assess the effectiveness and feasibility of laparoscopically assisted TAP block utilization in the system of multimodal analgesia by comparing the severity of pain and associated postoperative recovery indicators in obese patients after laparoscopic sleeve gastrectomy.
Materials and methods: The retrospective study included 39 patients, who underwent metabolic surgery from 2013-2022. All patients were divided into 2 groups depending on the chosen perioperative analgesia protocol. Group 1 included 19 patients who prior to skin incision a local infiltration of the trocar puncture areas of the abdominal wall. Group 2 included 20 patients, whom in addition to the above-described anaesthesia procedure after completion of the main stage of surgery, a laparoscopically assisted bilateral subcostal TAP block was additionally performed.
Results: The need to use opioid analgesics in the rescue analgesia mode arose in 17.6% (3/17) of patients of the first group, and 5% (1/20) of patients in the second group Average duration of postoperative hospitalization in group 1 was 7.2±1.1 days, and in group 2 it was 6.2±1.4 days (P <0.05).
Conclusions: Subcostal TAP block in obese patients is a safe and effective method of regional anaesthesia. Further study of this option of regional anaesthesia is required in order to be able to form clearer recommendations for its routine use in clinical practice.</description><subject>Analgesia - methods</subject><subject>Bariatric Surgery - methods</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Obesity - complications</subject><subject>Obesity - surgery</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Retrospective Studies</subject><issn>0043-5147</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkTFv2zAQhTmkaII0a8aAYxa7FElR0kjTtEyUEgWRTuBJUCgZcGvXqRQP-Xf5aaVrt0BvuAMevnt3wAPgPkJTwhKKvj7r_gdGmKAYR9kVuEGIkkkc0eQa3I3jdxSKxRFi2WdwTRLCKErxDfjg1kprC1k6aBbQLSWUi4USSpZifVJ4yXUunRKQC6dMedI0r3htrDCVElzrNQwmyjo5h45XcKaN-BYkyKEwRWXKi3cla2VC4049SVistFOFmXN9OWEVh5XmJVThxkxaCatAhl0LV-Vc1rlRZQ4L6fjM6PCOXdW5rNdfwKdNuxv7u8u8BauFdGI50SY_fTfxEYvfJlHHXjKKs8yn2G9Yl3qWZLEnNG5b1ncJCVhGCaGtjxmJWdqlpMWedrSlniFCbsHj2fd1OPw69uNbs9-Ovt_t2p_94Tg2OCUIY0yzJKDTM-qHwzgO_aZ5Hbb7dnhvItT8Cav5L6yw8HDxPr7s--4f_jcm8hsTcIIN</recordid><startdate>2023</startdate><enddate>2023</enddate><creator>Todurov, Ivan M</creator><creator>Perekhrestenko, Oleksandr V</creator><creator>Kosiukhno, Sergii V</creator><creator>Yevsieieva, Viktoriia V</creator><creator>Lisun, Yurii B</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2023</creationdate><title>ASSESSMENT OF THE EFFICIENCY OF ANALGETIC ACTION OF LAPAROSCOPICALLY ASSISTED TAP BLOCK AS A COMPONENT OF PERIOPERATIVE MULTIMODAL ANALGESIA PLAN IN OBESE PATIENTS UNDERGOING METABOLIC SURGERY</title><author>Todurov, Ivan M ; Perekhrestenko, Oleksandr V ; Kosiukhno, Sergii V ; Yevsieieva, Viktoriia V ; Lisun, Yurii B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c165t-1d6b94299c82cf6d8c6795c345aa6ed73c1694334ac563568d83a2c4d4a4c6033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analgesia - methods</topic><topic>Bariatric Surgery - methods</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Obesity - complications</topic><topic>Obesity - surgery</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Todurov, Ivan M</creatorcontrib><creatorcontrib>Perekhrestenko, Oleksandr V</creatorcontrib><creatorcontrib>Kosiukhno, Sergii V</creatorcontrib><creatorcontrib>Yevsieieva, Viktoriia V</creatorcontrib><creatorcontrib>Lisun, Yurii B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Wiadomości lekarskie (1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Todurov, Ivan M</au><au>Perekhrestenko, Oleksandr V</au><au>Kosiukhno, Sergii V</au><au>Yevsieieva, Viktoriia V</au><au>Lisun, Yurii B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ASSESSMENT OF THE EFFICIENCY OF ANALGETIC ACTION OF LAPAROSCOPICALLY ASSISTED TAP BLOCK AS A COMPONENT OF PERIOPERATIVE MULTIMODAL ANALGESIA PLAN IN OBESE PATIENTS UNDERGOING METABOLIC SURGERY</atitle><jtitle>Wiadomości lekarskie (1960)</jtitle><addtitle>Wiad Lek</addtitle><date>2023</date><risdate>2023</risdate><volume>76</volume><issue>5 pt 2</issue><spage>1259</spage><epage>1264</epage><pages>1259-1264</pages><issn>0043-5147</issn><abstract>The aim: To assess the effectiveness and feasibility of laparoscopically assisted TAP block utilization in the system of multimodal analgesia by comparing the severity of pain and associated postoperative recovery indicators in obese patients after laparoscopic sleeve gastrectomy.
Materials and methods: The retrospective study included 39 patients, who underwent metabolic surgery from 2013-2022. All patients were divided into 2 groups depending on the chosen perioperative analgesia protocol. Group 1 included 19 patients who prior to skin incision a local infiltration of the trocar puncture areas of the abdominal wall. Group 2 included 20 patients, whom in addition to the above-described anaesthesia procedure after completion of the main stage of surgery, a laparoscopically assisted bilateral subcostal TAP block was additionally performed.
Results: The need to use opioid analgesics in the rescue analgesia mode arose in 17.6% (3/17) of patients of the first group, and 5% (1/20) of patients in the second group Average duration of postoperative hospitalization in group 1 was 7.2±1.1 days, and in group 2 it was 6.2±1.4 days (P <0.05).
Conclusions: Subcostal TAP block in obese patients is a safe and effective method of regional anaesthesia. Further study of this option of regional anaesthesia is required in order to be able to form clearer recommendations for its routine use in clinical practice.</abstract><cop>Poland</cop><pmid>37364082</pmid><doi>10.36740/WLek202305219</doi><tpages>6</tpages></addata></record> |
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| subjects | Analgesia - methods Bariatric Surgery - methods Humans Laparoscopy - methods Obesity - complications Obesity - surgery Pain, Postoperative - drug therapy Retrospective Studies |
| title | ASSESSMENT OF THE EFFICIENCY OF ANALGETIC ACTION OF LAPAROSCOPICALLY ASSISTED TAP BLOCK AS A COMPONENT OF PERIOPERATIVE MULTIMODAL ANALGESIA PLAN IN OBESE PATIENTS UNDERGOING METABOLIC SURGERY |
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