Modified thoracoabdominal nerve block through perichondrial approach (M-TAPA) vs local infiltration for pain management after laparoscopic cholecystectomy surgery: a randomized study

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dc.authorid0000-0002-3245-6614
dc.authorid0000-0003-0428-2511
dc.contributor.authorGüngör, Hande
dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorAlver, Selçuk
dc.contributor.authorGölboyu, Birzat Emre
dc.contributor.authorÖzdenkaya, Yaşar
dc.contributor.authorTulgar, Serkan
dc.date.accessioned2023-09-19T10:48:43Z
dc.date.available2023-09-19T10:48:43Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractPurpose: Modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) targets thoracoabdominal nerves. Our primary aim was to compare M-TAPA vs local infiltration on pain management in patients underwent laparoscopic cholecystectomy (LC) surgery. Methods: Patients with ASA class I-II patients aged between 18 and 65 years scheduled for elective LC under general anesthesia were enrolled in the study. There were two randomized groups: Group M: M-TAPA group (n = 30) and the local infiltration (LI) group (n = 30). M-TAPA was performed with totally 40 ml 0.25% bupivacaine in the M group. LI was performed in infiltration group. The primary outcome of the study was pain score in the PACU, the secondary outcomes were the patient satisfaction scores, rescue analgesic need, and adverse effects during the 24-h postoperative period. Results: The static NRS scores were significantly lower in Group M at the postoperative first 4 h (p = 0.001). There was a significant decrease in the dynamic NRS scores in Group M at the postoperative first 16 h (p = 0.001). The incidence of nausea was significantly higher in the LI group (12 vs. 5 patients, p = 0.047). The need for rescue analgesia was significantly lower in Group M (p = 0.009). The patient satisfaction scores were significantly higher in Group M (p = 0.001). Conclusion: M-TAPA provides superior analgesia compared to LI in patients undergoing LC.
dc.identifier.citationGüngör, H., Çiftçi, B., Alver, S., Gölboyu, B. E., Özdenkaya, Y. ve Tulgar, S. (2023). Modified thoracoabdominal nerve block through perichondrial approach (M-TAPA) vs local infiltration for pain management after laparoscopic cholecystectomy surgery: a randomized study. Journal of Anesthesia, 37(2), 254-260. https://doi.org/10.1007/s00540-022-03158-0
dc.identifier.doi10.1007/s00540-022-03158-0
dc.identifier.endpage260
dc.identifier.issn0913-8668
dc.identifier.issn1438-8359
dc.identifier.issue2
dc.identifier.pmid36575362
dc.identifier.scopus2-s2.0-85144933471
dc.identifier.scopusqualityQ2
dc.identifier.startpage254
dc.identifier.urihttps://doi.org/10.1007/s00540-022-03158-0
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11458
dc.identifier.volume37
dc.identifier.wos000905027400001en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGüngör, Hande
dc.institutionauthorÇiftçi, Bahadır
dc.institutionauthorAlver, Selçuk
dc.institutionauthorÖzdenkaya, Yaşar
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofJournal of Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectLaparoscopic Cholecystectomy
dc.subjectLocal Infiltration
dc.subjectPostoperative Analgesia
dc.subjectThoracoabdominal Nerves Block Through Perichondrial Approach
dc.titleModified thoracoabdominal nerve block through perichondrial approach (M-TAPA) vs local infiltration for pain management after laparoscopic cholecystectomy surgery: a randomized study
dc.typeArticle

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