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Başlık: Efficacy of laparoscopic transversus abdominis plane block for elective laparoscopic cholecystectomy in elderly patients
Yazarlar: Totoz, Tolga
Tokocin, Merve
Ercan, Gülçin
Çalıkoğlu, Tuğba Koç
Vartanoğlu, Talar
Çelebi, Fatih
Dandin, Özgür
Uludağ Üniversitesi/Tıp Fakültesi/Anatomi Anabilim Dalı.
0000-0001-8309-0934
Tihan, Deniz
Kafa, İlker Mustafa
AAG-7125-2021
14058991800
8450193200
Anahtar kelimeler: Research & experimental medicine
Analgesia
Cholecystectomy
Laparoscopy
Transversus abdominis plane block
Tap block
Colorectal surgery
Postoperative pain
Analgesic efficacy
Metaanalysis
Outcomes
Location
Relief
Trial
Yayın Tarihi: 7-Ara-2015
Yayıncı: Assoc Basic Medical Sci Federation Bosnia & Herzegovina Sarajevo
Atıf: Tihan, D. vd. (2016). "Efficacy of laparoscopic transversus abdominis plane block for elective laparoscopic cholecystectomy in elderly patients". Bosnian Journal of Basic Medical Sciences, 16(2), 139-144.
Özet: Transversus abdominis plane (TAP) block technique seems to offer one of the most efficient methods for a local pain control. Our aim is to demonstrate the effectiveness and safety of TAP block for post-operative pain control under laparoscopic vision in elderly patients during laparoscopic cholecystectomy. The patients aged more than 65 years old, who had cholecystectomy due to symptomatic cholelithiasis, were retrospectively evaluated. The patients that were operated under general anesthesia + laparoscopic TAP block and those who were operated only under only general anesthesia were compared according to their' age and gender, comorbidities, American Society of Anesthesiologists scores, visual analog scale (VAS) for pain and length of stay in the hospital. Median (+/- interquartile range) values of post-operative 24th-hour-VAS for pain was found consecutively 2 (+/- 1-3) in TAP block + group and 3 (+/- 2-5) in TAP block - group. The median post-operative 24th-hour-VAS value in overall patients was three. Patients' VAS values were higher in the TAP block - group with a statistically significant difference (p = 0.001). Furthermore, no statistically significant difference was found for other parameters in two groups. The laparoscopic-guided TAP block can easily be performed and has potential for lower visceral injury risk and shorter operational time. Efficacy, safety and other advantages (analgesic requirements, etc.) make it an ideal abdominal field block in elderly patients.
URI: https://doi.org/10.17305/bjbms.2015.841
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852996/
http://hdl.handle.net/11452/29650
ISSN: 1512-8601
1840-4812
Koleksiyonlarda Görünür:Scopus
Web of Science

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