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- Title
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.
- Authors
Földi, Mária; Soós, Alexandra; Hegyi, Péter; Kiss, Szabolcs; Szakács, Zsolt; Solymár, Margit; Pétervári, Erika; Balaskó, Márta; Kusza, Krzysztof; Molnár, Zsolt
- 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.
- Subjects
TRANSVERSUS abdominis muscle; BARIATRIC surgery; NERVE block; RANDOMIZED controlled trials; ANALGESIA; OBSTETRICAL analgesia; GASTRIC banding
- Publication
Obesity Surgery, 2021, Vol 31, Issue 2, p531
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-020-04973-8