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Obesity Surgery
Published in: Obesity Surgery 2/2021

Open Access 01-02-2021 | Bariatric Surgery | Original Contributions

Transversus Abdominis Plane Block Appears to Be Effective and Safe as a Part of Multimodal Analgesia in Bariatric Surgery: a Meta-analysis and Systematic Review of Randomized Controlled Trials

Authors: Mária Földi, Alexandra Soós, Péter Hegyi, Szabolcs Kiss, Zsolt Szakács, Margit Solymár, Erika Pétervári, Márta Balaskó, Krzysztof Kusza, Zsolt Molnár

Published in: Obesity Surgery | Issue 2/2021

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Abstract

Purpose

Pain after bariatric surgery can prolong recovery. This patient group is highly susceptible to opioid-related side effects. Enhanced Recovery After Surgery guidelines strongly recommend the administration of multimodal medications to reduce narcotic consumption. However, the role of ultrasound-guided transversus abdominis plane (USG-TAP) block in multimodal analgesia of weight loss surgeries remains controversial.

Materials and Methods

A systematic search was performed in four databases for studies published up to September 2019. We considered randomized controlled trials that assessed the efficacy of perioperative USG-TAP block as a part of multimodal analgesia in patients with laparoscopic bariatric surgery.

Results

Eight studies (525 patients) were included in the meta-analysis. Pooled analysis showed lower pain scores with USG-TAP block at every evaluated time point and lower opioid requirement in the USG-TAP block group (weighted mean difference (WMD) = − 7.59 mg; 95% CI − 9.86, − 5.39; p < 0.001). Time to ambulate was shorter with USG-TAP block (WMD = − 2.22 h; 95% CI − 3.89, − 0.56; p = 0.009). This intervention also seemed to be safe: only three non-severe complications with USG-TAP block were reported in the included studies.

Conclusion

Our results may support the incorporation of USG-TAP block into multimodal analgesia regimens of ERAS protocols for bariatric surgery.
Appendix
Available only for authorised users
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Metadata
Title
Transversus Abdominis Plane Block Appears to Be Effective and Safe as a Part of Multimodal Analgesia in Bariatric Surgery: a Meta-analysis and Systematic Review of Randomized Controlled Trials
Authors
Mária Földi
Alexandra Soós
Péter Hegyi
Szabolcs Kiss
Zsolt Szakács
Margit Solymár
Erika Pétervári
Márta Balaskó
Krzysztof Kusza
Zsolt Molnár
Publication date
01-02-2021
Publisher
Springer US
Published in
Obesity Surgery / Issue 2/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04973-8

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