Efficacy of modified thoracoabdominal nerve block through perichondrial approach following laparoscopic inguinal hernia repair surgery: A randomized controlled trial

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dc.authorid0000-0002-3245-6614
dc.authorid0000-0003-0428-2511
dc.authorid0000-0001-8057-5899
dc.contributor.authorAlver, Selçuk
dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorGüngör, Hande
dc.contributor.authorGölboyu, Birzat Emre
dc.contributor.authorÖzdenkaya, Yaşar
dc.contributor.authorAlıcı, Hacı Ahmet
dc.contributor.authorTulgar, Serkan
dc.date.accessioned2023-11-03T06:11:34Z
dc.date.available2023-11-03T06:11:34Z
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.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Algoloji Ana Bilim Dalı
dc.description.abstractBackground: Modified thoracoabdominal nerve block through perichondrial approach is a novel fascial plane block and provides abdominal analgesia by blocking thoracoabdominal nerves. Our primary aim was to evaluate the efficacy of M-TAPA on quality of recovery and pain scores in patients who underwent laparoscopic inguinal hernia repair surgery (Trans Abdominal Pre-Peritoneal approach - TAPP).Methods: Patients with American Society of Anesthesiologists (ASA) physical status I-II aged between 18 and 65 years scheduled for elective TAPP under general anesthesia were enrolled in the study. After intubation, the patients were randomized into two groups: M: M-TAPA group (n = 30) and the control group (n = 30). M-TAPA was performed with total 40 ml 0.25% bupivacaine in the M group. Surgical infiltration was performed in the control group. The primary outcome of the study was the global quality of recovery score, the secondary outcomes were pain scores, rescue analgesic demands, and adverse effects during the 24-h postoperative period. Results: The global quality of recovery scores at 24 h were significantly higher in the M group (p < 0.001). There was a reduction in the median static and dynamic NRS for the first postoperative 8 h in the M group compared to the control group (p < 0.001). The need for rescue analgesia was significantly lower in the M group compared to the control group (13 patients vs. 24respectively, p < 0.001). The incidence of side effects was significantly higher in the control group (p < 0.001).Conclusion: In our study, M-TAPA increased patient recovery scores, and provided pain relief in patients who underwent TAPP. Register Number: NCT05199922.(c) 2023 Sociedade Brasileira de Anestesiologia.
dc.identifier.citationAlver, S., Çiftçi, B., Güngör, H., Gölboyu, B. E., Özdenkaya, Y., Alıcı, H. A. ... Tulgar, S. (2023). Efficacy of modified thoracoabdominal nerve block through perichondrial approach following laparoscopic inguinal hernia repair surgery: A randomized controlled trial. Brazilian Journal of Anesthesiology (English Edition), 73(5), 595-602. https://dx.doi.org/10.1016/j.bjane.2023.05.001
dc.identifier.doi10.1016/j.bjane.2023.05.001
dc.identifier.endpage602
dc.identifier.issn0104-0014
dc.identifier.issn2352-2291
dc.identifier.issue5
dc.identifier.pmid37201747
dc.identifier.scopus2-s2.0-85159888182
dc.identifier.scopusqualityQ3
dc.identifier.startpage595
dc.identifier.urihttps://dx.doi.org/10.1016/j.bjane.2023.05.001
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11704
dc.identifier.volume73
dc.identifier.wos001084261300001en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAlver, Selçuk
dc.institutionauthorÇiftçi, Bahadır
dc.institutionauthorGüngör, Hande
dc.institutionauthorÖzdenkaya, Yaşar
dc.institutionauthorAlıcı, Hacı Ahmet
dc.language.isoen
dc.publisherElsevier Editora Ltda
dc.relation.ispartofBrazilian Journal of Anesthesiology (English Edition)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivs 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAcute Pain
dc.subjectLaparoscopic Surgery
dc.subjectPain Management
dc.subjectRegional Anesthesia
dc.subjectUltrasonography
dc.titleEfficacy of modified thoracoabdominal nerve block through perichondrial approach following laparoscopic inguinal hernia repair surgery: A randomized controlled trial
dc.typeArticle

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