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Research article
Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty
Haytham El Sayed
Al Kindi Specialised Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1479-6930
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version here.
Background
Abdominoplasty is a common aesthetic surgery. Adequate pain management during the postoperative period is of great importance. Previous studies have failed to achieve safe and reliable effective analgesic techniques beyond the recovery room. This research aims to investigate the outcome of the abdominoplasty operation for the patients' received transversus abdominis plan block in comparison with the non-blocked patients.
Methods
58 patients, undergoing elective abdominoplasty, received general anesthesia. Patients were randomly assigned to two equal groups of 29 patients each. Combined subcostal and posterior transversus abdominis plane block group and non-blocked group. For both groups, the standard postoperative analgesic regimen consisted of IV Paracetamol 1 g every 6 hours. Values of visual analog scale values were recorded every 4 hours postoperatively, once the patient had a visual analog scale ≥ 6, IV narcotics administered and visual analog scale recorded every 30 min till pain improved.
Results
there’s a significant difference between both groups regarding the visual analog scale data, patient ambulation, patients’ need for postoperative mechanical ventilatory support, and also the dosage of narcotics used.
Conclusion
Transversus abdominis plane block is a promising regional anesthetic technique for postoperative pain relief in abdominoplasty surgery, it offers a longer postoperative analgesic effect duration and fewer analgesic requirements with less postoperative complications.
Keywords
Abdominoplasty, pain relief, TAP Block
Figure 1
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lara
commented on 16 June, 2020
it's amazing research my question is there are limitations or difficulties to proceed Ultrasound-Guided Abdominal wall Block after all fluids of liposuction filtration and presence of drains also the dressing you mentioned it was kept before proceeding the block thanks
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This is a preprint. It has not completed peer review.
Research article
Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty
Haytham El Sayed
Al Kindi Specialised Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1479-6930
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Published
On 31 Dec, 2020
No community comments so far
No comments provided
Community comments: 1
Version 1
Posted 12 Jun, 2020
Community comments: 1
Metrics
Comments: 1
PDF Downloads: ...
HTML Views: ...
Subject Areas
Anesthesiology & Pain Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version here.
Background
Abdominoplasty is a common aesthetic surgery. Adequate pain management during the postoperative period is of great importance. Previous studies have failed to achieve safe and reliable effective analgesic techniques beyond the recovery room. This research aims to investigate the outcome of the abdominoplasty operation for the patients' received transversus abdominis plan block in comparison with the non-blocked patients.
Methods
58 patients, undergoing elective abdominoplasty, received general anesthesia. Patients were randomly assigned to two equal groups of 29 patients each. Combined subcostal and posterior transversus abdominis plane block group and non-blocked group. For both groups, the standard postoperative analgesic regimen consisted of IV Paracetamol 1 g every 6 hours. Values of visual analog scale values were recorded every 4 hours postoperatively, once the patient had a visual analog scale ≥ 6, IV narcotics administered and visual analog scale recorded every 30 min till pain improved.
Results
there’s a significant difference between both groups regarding the visual analog scale data, patient ambulation, patients’ need for postoperative mechanical ventilatory support, and also the dosage of narcotics used.
Conclusion
Transversus abdominis plane block is a promising regional anesthetic technique for postoperative pain relief in abdominoplasty surgery, it offers a longer postoperative analgesic effect duration and fewer analgesic requirements with less postoperative complications.
Figure 1
lara
commented on 16 June, 2020
it's amazing research my question is there are limitations or difficulties to proceed Ultrasound-Guided Abdominal wall Block after all fluids of liposuction filtration and presence of drains also the dressing you mentioned it was kept before proceeding the block thanks