Laparoscopic-guided distal loco-regional anesthetic infiltration technique in TAPP inguinal hernia repair: a double-blind randomized clinical trial
| Autor: | Rodolfo Scaravonati, Santiago Bertone, Sebastián Roche, Emilio Diaz, José F Viñas, Claudio Brandi, Juan Pablo Campana |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Visual analogue scale medicine.medical_treatment Analgesic Hernia Inguinal law.invention Randomized controlled trial Transversus Abdominis Plane Block law medicine Humans Local anesthesia Anesthetics Local Herniorrhaphy Abdominal Muscles Pain Postoperative business.industry medicine.disease Hernia repair Surgery Inguinal hernia Female Laparoscopy business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 36(6) |
| ISSN: | 1432-2218 |
| Popis: | Ultrasound-guided transversus abdominis plane block (US-TAP) is an important component of multimodal analgesia in laparoscopic inguinal hernia repair, although it has certain limitations. To overcome them, surgeons have developed several techniques to perform local anesthetic infiltration under laparoscopic guidance, but no trials evaluating these in transabdominal preperitoneal (TAPP) hernia repair were conducted till the date. The aim of this study was to compare the efficacy of a novel laparoscopic-guided local anesthetic infiltration technique (LDAI) with US-TAP in postoperative pain control and analgesic consumption for patients undergoing elective TAPP hernia repair. This was a double-blind randomized controlled trial conducted at a single tertiary academic center between 2019 and 2020 on adult patients undergoing elective laparoscopic TAPP inguinal hernia repair. Postoperative pain and analgesic consumption were compared for LDAI vs. US-TAP up to 30 postoperative days. 62 patients were included (31 LDAI, 31 US-TAP). Female gender was significantly higher in the LDAI group (8, 25.81%; US-TAP 0; p = 0.005). Mean anesthetic time (US-TAP group: 142.2 min, SD = 17.7; LDAI group: 127.1 min, SD = 15.5; p |
| Databáze: | OpenAIRE |
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