The effects of laparoscopic guided transversus abdominis plane (TAP) block in sleeve gastrectomy procedure: a randomized single blinded placebo controlled trial

Authors : Ömer Faruk Bük, Sönmez Ocak, Mustafa Safa Uyanık, İlter Soytürk, Ahmet Burak Çiftci, Mehmet Alperen Avcı, Can Akgün

Pages : 264-269

Doi:10.32322/jhsm.1459785

View : 51 | Download : 51

Publication Date : 2024-05-27

Article Type : Research Paper

Abstract :Aims: Laparoscopy-guided transversus abdominis plane (TAP) block is a novel postoperative analgesic modality. We aimed to explore the effect of TAP block in laparoscopic sleeve gastrectomy (LSG) procedures. Methods: Forty patients were randomized into two groups: TAP block with bupivacaine and placebo. Visual analog scale scores at postoperative hours 1, 6, 12, and 24, total analgesic consumption and opioid doses, and postoperative nausea and vomiting (PONV) scores were evaluated between the groups. Results: Postoperative first-hour VAS scores differed significantly between the groups (p<0.05). PONV scores were also lower in the TAP block group (p<0.05). The first rescue opiod requirement was later in the TAP block group than in the placebo group. Pain scores at postoperative hours 6, 12, and 24 and total analgesia doses were not significantly different between the groups. Conclusion: Laparoscopy-guided TAP block reduced early postopeative pain and may also attenuate PONV in LSG.
Keywords : Sleeve gastrectomy, Transversus abdominis plane block, postoperative pain management