Transversus Abdominis Plane Block for Laparoscopic Hysterectomy Pain: A Meta-Analysis
| Autor: | Naum Shaparin, Karina Gritsenko, Ethan M Balk, Kari Plewniak, Ja Hyun Shin, Alexander Wang |
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| Rok vydání: | 2020 |
| Předmět: |
050101 languages & linguistics
medicine.medical_specialty Visual Analog Scale Visual analogue scale medicine.medical_treatment Placebo Hysterectomy 050105 experimental psychology law.invention Laparoscopic Randomized controlled trial Robotic Surgical Procedures law Transversus Abdominis Plane Block Medicine Humans 0501 psychology and cognitive sciences Postoperative Period Abdominal Muscles Randomized Controlled Trials as Topic Uterine Diseases Pain Postoperative business.industry TAP block pain 05 social sciences Nerve Block Robotics Surgery Robotic Analgesics Opioid Opioid Meta-analysis Uterine Neoplasms Morphine Female Laparoscopy business medicine.drug Research Article |
| Zdroj: | JSLS : Journal of the Society of Laparoscopic & Robotic Surgeons |
| ISSN: | 1938-3797 |
| Popis: | Objective Review the analgesic effect of the transversus abdominis plane (TAP) block and its impact on postoperative pain scores and opioid usage for patients undergoing laparoscopic and robotic hysterectomies. Methods Systematic review with meta-analysis of randomized controlled trials that compared the effect of TAP block to either placebo or no block on narcotic use (in morphine equivalent units [MEq]) and pain (per visual analog scale) within 24] h after a laparoscopic or robotic hysterectomy for benign or malignant indications. Searches were conducted in PubMed and Embase through May 31, 2019. Results Nine randomized controlled trials met eligibility criteria; 7 evaluated laparoscopic hysterectomy and 2 robotic hysterectomy. A total of 688 subjects were included (559 laparoscopic hysterectomy, 129 robotic hysterectomy). Opioid consumption was similar in the first 24] h postoperative with or without TAP block (-0.8 MEq; 95% CI, -2.9, 1.3; 8 TAP arms; N] = 395). Pain scores (visual analog scale) were also similar with or without TAP block (-0.01 U; 95% CI, -0.34, 0.32; 10 TAP arms; N] = 636). Neither meta-analysis showed statistical heterogeneity across studies. Conclusions The evidence does not support a benefit of TAP block to reduce pain or opioid use for patients receiving laparoscopic or robotic hysterectomies. |
| Databáze: | OpenAIRE |
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