Surgeon administered transversus abdominis plane block: anatomic principles and technique

The Transversus Abdominis Plane (TAP) block is a regional abdominal wall block that has been effectively used as an adjunct to alleviate postoperative pain. The ultrasound-guided TAP (USTAP) administered by anesthesiologists is the gold standard and has been effective for surgeries involving abdomin...

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Bibliographic Details
Published in:Journal of robotic surgery 2023-08, Vol.17 (4), p.1193-1205
Main Authors: Prabhakar, Pushan, Ganapathi, Hariharan Palayapalayam, Suresh, Vishnu, Farias, Anthony, Manoharan, Murugesan
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Muscles - surgery
Abdominal Wall - surgery
Analgesics
Cartilage
Cholecystectomy
Humans
Laparoscopy
Literature reviews
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Narcotics
Pain
Pain management
Pain, Postoperative - prevention & control
Patient satisfaction
Recovery (Medical)
Review
Robotic Surgical Procedures - methods
Surgeons
Surgery
Urology
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Description
Summary:The Transversus Abdominis Plane (TAP) block is a regional abdominal wall block that has been effectively used as an adjunct to alleviate postoperative pain. The ultrasound-guided TAP (USTAP) administered by anesthesiologists is the gold standard and has been effective for surgeries involving abdominal wall incisions. Recently, the TAP block has been administered by surgeons with the help of direct visualization during minimally invasive surgery. The surgeon-administered or laparoscopic-guided TAP block has been compared to the USTAP with no discernible difference in patient outcomes. Also, directly visualizing the injection in the surgeon-administered block can offset complications such as visceral injury and block failure (injectate in the wrong plane). This review explores the literature’s surgeon-administered TAP blocks for minimally invasive surgery in the literature. In addition, the prerequisite anatomy of the anterolateral abdominal wall, various approaches, and other factors that influence the efficacy of the block are described to increase awareness of this analgesic tool among surgeons and achieve better postoperative pain management.
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-023-01535-9