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Transversus abdominis plane block for lumboperitoneal shunt surgery in idiopathic normal pressure hydrocephalus: a case report

Abstract The transversus abdominis plane (TAP) block is an ideal pain control method used in surgeries that require abdominal wall incisions through the injection of an anesthetic solution into the plane between the internal oblique muscle and transversus abdominis muscle. Herein, we report an 83-ye...

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Bibliographic Details
Published in:Journal of surgical case reports 2021-04, Vol.2021 (4), p.rjab123
Main Authors: Cho, Jinduck, Yeo, Jinseok, Chang, Sung Hyun, Yoon, Sang-Youl, Park, Seong-Hyun, Kang, Kyunghun, Kim, Chi-Hun, Hahm, Myong Hun, Park, Eunhee, Park, Ki-Su
Format: Article
Language:English
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Summary:Abstract The transversus abdominis plane (TAP) block is an ideal pain control method used in surgeries that require abdominal wall incisions through the injection of an anesthetic solution into the plane between the internal oblique muscle and transversus abdominis muscle. Herein, we report an 83-year-old man who was diagnosed with idiopathic normal pressure hydrocephalus (iNPH) and underwent lumboperitoneal shunt surgery (LPS). The TAP block was performed before LPS, and the numerical rating scale for pain was 0 at day 1 after the surgery. The patient was discharged early at day 3 after surgery despite the patient being extremely old, as he reported quick relief from the postoperative abdominal pain. The TAP block can hence be considered for use before LPS in elderly patients with iNPH.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjab123