Efficacy of transversus abdominis plane blocks in laparoscopic colorectal resections
Background The increasing use of laparoscopic techniques for colorectal resections means that the issue of postoperative analgesia needs to be reassessed. This nonrandomized comparative study aimed to assess the efficacy of the transversus abdominis plane (TAP) block in laparoscopic colorectal resec...
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| Veröffentlicht in: | Surgical endoscopy 2010-10, Vol.24 (10), p.2480-2484 |
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| creator | Conaghan, Philip Maxwell-Armstrong, Charles Bedforth, Nigel Gornall, Chris Baxendale, Bryn Hong, Li-lin Carty, Hyun-Mi Acheson, Austin G. |
| description | Background
The increasing use of laparoscopic techniques for colorectal resections means that the issue of postoperative analgesia needs to be reassessed. This nonrandomized comparative study aimed to assess the efficacy of the transversus abdominis plane (TAP) block in laparoscopic colorectal resections.
Methods
Prospectively collected data from consecutive patients undergoing laparoscopic colorectal resections were used. Analgesia usage and outcome data for patients who had a TAP block and a postoperative morphine patient-controlled analgesia pump (PCA) were compared with those for patients who had a PCA alone.
Results
Data for 74 patients were used in the final analysis (40 TAP/PCA and 34 PCA alone). There was a significant reduction in overall intravenous opiate use in the TAP/PCA group (31.3 vs. 51.8 mg;
P
= 0.03). The TAP/PCA group showed a slight trend toward a shorter hospital stay (3 vs. 4 days;
P
= 0.17) but no difference in postoperative complications or any other outcome measure. There was no procedure-related morbidity relating to the use of TAP blocks.
Conclusions
It appears that TAP blocks reduce postoperative analgesia use of patients undergoing laparoscopic colorectal resections within an enhanced recovery program, and this may have an impact on their postoperative hospital length of stay. |
| doi_str_mv | 10.1007/s00464-010-0989-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_755404740</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>755404740</sourcerecordid><originalsourceid>FETCH-LOGICAL-c425t-5acce910a2953bccdbe3517f572fe5d92af60414f0eb70fbabee96fb7a9452d83</originalsourceid><addsrcrecordid>eNp1kMFKJDEQhoOs6Kz6AF4kLMieWivpZDI5LqK7guBFzyFJJxK3p9OmpoV5ezPOrMKCpxTkq6q_PkJOGVwwAHWJAGIuGmDQgF7oZr1HZky0vOGcLb6RGegWGq60OCTfEZ-h4prJA3LIoVVzofmMPFzHmLz1a5ojXRU74GsoOCG1rsvLNCSkY2-HQF2f_V-kaaC9HW3J6POYPPW5zyX4le1pCViLlAc8JvvR9hhOdu8Reby5frj609zd_769-nXXeMHlqpHW-6AZWK5l67zvXGglU1EqHoPsNLdxDoKJCMEpiM66EPQ8OmW1kLxbtEfk53buWPLLFHBllgl96DeB84RGSSlAKAGV_PEf-ZynMtRwG0hXF-8Q20K-noclRDOWtLRlbRiYjXCzFW6qcLMRbta152w3eHLL0H10_DNcgfMdYNHbPlbFPuEn1wrGpG4rx7cc1q_hKZTPhF9vfwNZo5o2</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>755964940</pqid></control><display><type>article</type><title>Efficacy of transversus abdominis plane blocks in laparoscopic colorectal resections</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Conaghan, Philip ; Maxwell-Armstrong, Charles ; Bedforth, Nigel ; Gornall, Chris ; Baxendale, Bryn ; Hong, Li-lin ; Carty, Hyun-Mi ; Acheson, Austin G.</creator><creatorcontrib>Conaghan, Philip ; Maxwell-Armstrong, Charles ; Bedforth, Nigel ; Gornall, Chris ; Baxendale, Bryn ; Hong, Li-lin ; Carty, Hyun-Mi ; Acheson, Austin G.</creatorcontrib><description>Background
The increasing use of laparoscopic techniques for colorectal resections means that the issue of postoperative analgesia needs to be reassessed. This nonrandomized comparative study aimed to assess the efficacy of the transversus abdominis plane (TAP) block in laparoscopic colorectal resections.
Methods
Prospectively collected data from consecutive patients undergoing laparoscopic colorectal resections were used. Analgesia usage and outcome data for patients who had a TAP block and a postoperative morphine patient-controlled analgesia pump (PCA) were compared with those for patients who had a PCA alone.
Results
Data for 74 patients were used in the final analysis (40 TAP/PCA and 34 PCA alone). There was a significant reduction in overall intravenous opiate use in the TAP/PCA group (31.3 vs. 51.8 mg;
P
= 0.03). The TAP/PCA group showed a slight trend toward a shorter hospital stay (3 vs. 4 days;
P
= 0.17) but no difference in postoperative complications or any other outcome measure. There was no procedure-related morbidity relating to the use of TAP blocks.
Conclusions
It appears that TAP blocks reduce postoperative analgesia use of patients undergoing laparoscopic colorectal resections within an enhanced recovery program, and this may have an impact on their postoperative hospital length of stay.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-010-0989-y</identifier><identifier>PMID: 20376492</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdomen ; Abdominal Surgery ; Abdominal Wall - diagnostic imaging ; Abdominal Wall - innervation ; Aged ; Analgesia, Patient-Controlled ; Analgesics, Opioid - administration & dosage ; Biological and medical sciences ; Colectomy ; Colorectal surgery ; Digestive system. Abdomen ; Endoscopy ; Epidural ; Female ; Gastroenterology ; Gynecology ; Hepatology ; Hospitals ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Morphine ; Morphine - therapeutic use ; Narcotics ; Nerve Block ; Pain ; Pain, Postoperative - drug therapy ; Pain, Postoperative - prevention & control ; Patients ; Proctology ; Rectum - surgery ; Surgery ; Ultrasonic imaging ; Ultrasonography</subject><ispartof>Surgical endoscopy, 2010-10, Vol.24 (10), p.2480-2484</ispartof><rights>Springer Science+Business Media, LLC 2010</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-5acce910a2953bccdbe3517f572fe5d92af60414f0eb70fbabee96fb7a9452d83</citedby><cites>FETCH-LOGICAL-c425t-5acce910a2953bccdbe3517f572fe5d92af60414f0eb70fbabee96fb7a9452d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-010-0989-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-010-0989-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23411593$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20376492$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Conaghan, Philip</creatorcontrib><creatorcontrib>Maxwell-Armstrong, Charles</creatorcontrib><creatorcontrib>Bedforth, Nigel</creatorcontrib><creatorcontrib>Gornall, Chris</creatorcontrib><creatorcontrib>Baxendale, Bryn</creatorcontrib><creatorcontrib>Hong, Li-lin</creatorcontrib><creatorcontrib>Carty, Hyun-Mi</creatorcontrib><creatorcontrib>Acheson, Austin G.</creatorcontrib><title>Efficacy of transversus abdominis plane blocks in laparoscopic colorectal resections</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
The increasing use of laparoscopic techniques for colorectal resections means that the issue of postoperative analgesia needs to be reassessed. This nonrandomized comparative study aimed to assess the efficacy of the transversus abdominis plane (TAP) block in laparoscopic colorectal resections.
Methods
Prospectively collected data from consecutive patients undergoing laparoscopic colorectal resections were used. Analgesia usage and outcome data for patients who had a TAP block and a postoperative morphine patient-controlled analgesia pump (PCA) were compared with those for patients who had a PCA alone.
Results
Data for 74 patients were used in the final analysis (40 TAP/PCA and 34 PCA alone). There was a significant reduction in overall intravenous opiate use in the TAP/PCA group (31.3 vs. 51.8 mg;
P
= 0.03). The TAP/PCA group showed a slight trend toward a shorter hospital stay (3 vs. 4 days;
P
= 0.17) but no difference in postoperative complications or any other outcome measure. There was no procedure-related morbidity relating to the use of TAP blocks.
Conclusions
It appears that TAP blocks reduce postoperative analgesia use of patients undergoing laparoscopic colorectal resections within an enhanced recovery program, and this may have an impact on their postoperative hospital length of stay.</description><subject>Abdomen</subject><subject>Abdominal Surgery</subject><subject>Abdominal Wall - diagnostic imaging</subject><subject>Abdominal Wall - innervation</subject><subject>Aged</subject><subject>Analgesia, Patient-Controlled</subject><subject>Analgesics, Opioid - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Colectomy</subject><subject>Colorectal surgery</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Epidural</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morphine</subject><subject>Morphine - therapeutic use</subject><subject>Narcotics</subject><subject>Nerve Block</subject><subject>Pain</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Patients</subject><subject>Proctology</subject><subject>Rectum - surgery</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kMFKJDEQhoOs6Kz6AF4kLMieWivpZDI5LqK7guBFzyFJJxK3p9OmpoV5ezPOrMKCpxTkq6q_PkJOGVwwAHWJAGIuGmDQgF7oZr1HZky0vOGcLb6RGegWGq60OCTfEZ-h4prJA3LIoVVzofmMPFzHmLz1a5ojXRU74GsoOCG1rsvLNCSkY2-HQF2f_V-kaaC9HW3J6POYPPW5zyX4le1pCViLlAc8JvvR9hhOdu8Reby5frj609zd_769-nXXeMHlqpHW-6AZWK5l67zvXGglU1EqHoPsNLdxDoKJCMEpiM66EPQ8OmW1kLxbtEfk53buWPLLFHBllgl96DeB84RGSSlAKAGV_PEf-ZynMtRwG0hXF-8Q20K-noclRDOWtLRlbRiYjXCzFW6qcLMRbta152w3eHLL0H10_DNcgfMdYNHbPlbFPuEn1wrGpG4rx7cc1q_hKZTPhF9vfwNZo5o2</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Conaghan, Philip</creator><creator>Maxwell-Armstrong, Charles</creator><creator>Bedforth, Nigel</creator><creator>Gornall, Chris</creator><creator>Baxendale, Bryn</creator><creator>Hong, Li-lin</creator><creator>Carty, Hyun-Mi</creator><creator>Acheson, Austin G.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20101001</creationdate><title>Efficacy of transversus abdominis plane blocks in laparoscopic colorectal resections</title><author>Conaghan, Philip ; Maxwell-Armstrong, Charles ; Bedforth, Nigel ; Gornall, Chris ; Baxendale, Bryn ; Hong, Li-lin ; Carty, Hyun-Mi ; Acheson, Austin G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-5acce910a2953bccdbe3517f572fe5d92af60414f0eb70fbabee96fb7a9452d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdomen</topic><topic>Abdominal Surgery</topic><topic>Abdominal Wall - diagnostic imaging</topic><topic>Abdominal Wall - innervation</topic><topic>Aged</topic><topic>Analgesia, Patient-Controlled</topic><topic>Analgesics, Opioid - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Colectomy</topic><topic>Colorectal surgery</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Epidural</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morphine</topic><topic>Morphine - therapeutic use</topic><topic>Narcotics</topic><topic>Nerve Block</topic><topic>Pain</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Patients</topic><topic>Proctology</topic><topic>Rectum - surgery</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Conaghan, Philip</creatorcontrib><creatorcontrib>Maxwell-Armstrong, Charles</creatorcontrib><creatorcontrib>Bedforth, Nigel</creatorcontrib><creatorcontrib>Gornall, Chris</creatorcontrib><creatorcontrib>Baxendale, Bryn</creatorcontrib><creatorcontrib>Hong, Li-lin</creatorcontrib><creatorcontrib>Carty, Hyun-Mi</creatorcontrib><creatorcontrib>Acheson, Austin G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Conaghan, Philip</au><au>Maxwell-Armstrong, Charles</au><au>Bedforth, Nigel</au><au>Gornall, Chris</au><au>Baxendale, Bryn</au><au>Hong, Li-lin</au><au>Carty, Hyun-Mi</au><au>Acheson, Austin G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of transversus abdominis plane blocks in laparoscopic colorectal resections</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>24</volume><issue>10</issue><spage>2480</spage><epage>2484</epage><pages>2480-2484</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
The increasing use of laparoscopic techniques for colorectal resections means that the issue of postoperative analgesia needs to be reassessed. This nonrandomized comparative study aimed to assess the efficacy of the transversus abdominis plane (TAP) block in laparoscopic colorectal resections.
Methods
Prospectively collected data from consecutive patients undergoing laparoscopic colorectal resections were used. Analgesia usage and outcome data for patients who had a TAP block and a postoperative morphine patient-controlled analgesia pump (PCA) were compared with those for patients who had a PCA alone.
Results
Data for 74 patients were used in the final analysis (40 TAP/PCA and 34 PCA alone). There was a significant reduction in overall intravenous opiate use in the TAP/PCA group (31.3 vs. 51.8 mg;
P
= 0.03). The TAP/PCA group showed a slight trend toward a shorter hospital stay (3 vs. 4 days;
P
= 0.17) but no difference in postoperative complications or any other outcome measure. There was no procedure-related morbidity relating to the use of TAP blocks.
Conclusions
It appears that TAP blocks reduce postoperative analgesia use of patients undergoing laparoscopic colorectal resections within an enhanced recovery program, and this may have an impact on their postoperative hospital length of stay.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>20376492</pmid><doi>10.1007/s00464-010-0989-y</doi><tpages>5</tpages></addata></record> |
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| subjects | Abdomen Abdominal Surgery Abdominal Wall - diagnostic imaging Abdominal Wall - innervation Aged Analgesia, Patient-Controlled Analgesics, Opioid - administration & dosage Biological and medical sciences Colectomy Colorectal surgery Digestive system. Abdomen Endoscopy Epidural Female Gastroenterology Gynecology Hepatology Hospitals Humans Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Male Medical sciences Medicine Medicine & Public Health Middle Aged Morphine Morphine - therapeutic use Narcotics Nerve Block Pain Pain, Postoperative - drug therapy Pain, Postoperative - prevention & control Patients Proctology Rectum - surgery Surgery Ultrasonic imaging Ultrasonography |
| title | Efficacy of transversus abdominis plane blocks in laparoscopic colorectal resections |
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