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Laparoscopic-Guided Transversus Abdominis Plane (TAP) Block as Part of Multimodal Analgesia in Laparoscopic Roux-en-Y Gastric Bypass Within an Enhanced Recovery After Surgery (ERAS) Program: a Prospective Randomized Clinical Trial

dc.contributor.authorRUIZ TOVAR, JAIME
dc.contributor.authorGARCIA, ALEJANDRO
dc.contributor.authorFERRIGNI, CARLOS
dc.contributor.authorGONZALEZ, JUAN
dc.contributor.authorLEVANO LINARES, CESAR
dc.contributor.authorJIMENEZ FUERTES, MONTIEL
dc.contributor.authorLLAVERO, CAROLINA
dc.contributor.authorDURAN, MANUEL
dc.date.accessioned2024-02-02T11:15:00Z
dc.date.available2024-02-02T11:15:00Z
dc.date.issued2018-07-07
dc.identifier.citationRuiz-Tovar J, Garcia A, Ferrigni C, Gonzalez J, Levano-Linares C, Jimenez-Fuertes M, Llavero C, Duran M. Laparoscopic-Guided Transversus Abdominis Plane (TAP) Block as Part of Multimodal Analgesia in Laparoscopic Roux-en-Y Gastric Bypass Within an Enhanced Recovery After Surgery (ERAS) Program: a Prospective Randomized Clinical Trial. Obes Surg. 2018 Nov;28(11):3374-3379. doi: 10.1007/s11695-018-3376-8. PMID: 29980989.es
dc.identifier.issn1708-0428
dc.identifier.urihttps://hdl.handle.net/10115/29491
dc.description.abstractBackground: Despite the ultrasound guidance of transversus abdominis plane (TAP) blocks has allowed greater precision of needle placement in the desired tissue plane, visualization of the abdominal wall muscles can be hindered by morbid obesity and could lead to failed regional anesthesia. The aim of this study was to assess the feasibility and effect of laparoscopic-guided TAP block in patients undergoing Roux-en-Y gastric bypass and to compare it with port-site infiltration. Patients and Methods: A prospective randomized clinical trial was performed. Patients were randomized into two groups: patients undergoing laparoscopic-guided TAP (TAP-lap) and patients undergoing port-site infiltration (PSI). Pain quantification as measured by visual analogic scale (VAS) and morphine needs during the first 24 h were evaluated. Results: One hundred and forty patients were included, 70 in each group. The mean operation time was 83.3 + 15.6 min in TAPlap and 80.5 + 14.4 min in PSI (NS). The mean postoperative pain, as measured by VAS, 24 h after surgery was 16.8 + 11.2 mm in PSI and 10 + 8.1 mm in TAP-lap (p = 0.001). Morphine rescues were necessary in 13.2% in PSI and 2.9% in TAP-lap (p = 0.026). The mean hospital stay was 2.1 + 1.2 days in TAP-lap and 2.9 + 1.3 days in PSI (p = 0.019). Hospital discharge during the first 48 h after surgery was possible in 52.9% of the patients in PSI and 71% in TAP-lap (OR 4.75; 95% CI 2.1–10.8; p = 0.029). Conclusion: Laparoscopic-guided TAP block can reduce postoperative pain, opioid needs, and hospital stay, when compared with port-site infiltration with the same anesthetic drug, without increasing operation time. Trial Registration ClinicalTrials.gov Identifier: NCT03203070es
dc.language.isoenges
dc.publisherSpringeres
dc.subjectTransversus abdominis plane blockes
dc.subjectLaparoscopyes
dc.subjectRoux-en-Y gastric bypasses
dc.subjectPostoperative paines
dc.titleLaparoscopic-Guided Transversus Abdominis Plane (TAP) Block as Part of Multimodal Analgesia in Laparoscopic Roux-en-Y Gastric Bypass Within an Enhanced Recovery After Surgery (ERAS) Program: a Prospective Randomized Clinical Triales
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.doi10.1007/s11695-018-3376-8es
dc.rights.accessRightsinfo:eu-repo/semantics/closedAccesses


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