Abstract
Introduction: The aim of the study was to evaluate the effect of transversus abdominal (TAP) block for postoperative analgesia after renal transplantation. Methods: We searched PubMed, Embase, the Cochrane Library, and the Chinese Biomedical Literature Database for relevant studies. The related trials that met the inclusion criteria were analysed using RevMan 5.4 software. Results: We found 15 randomized controlled trials and two retrospective studies that, on meta-analysis, showed that TAP block group had significantly lower requirement of opioid consumption (MD −11.89, 95% CI −17.13∼−6.65) at 24 h for pain mitigation and pain intensity VAS at rest at 6h (MD −1.13, 95% CI −1.76∼−0.49), 12 h (MD −0.83, 95% CI −1.30∼−0.36) and 24 h (MD −0.47, 95% CI −0.75∼−0.20). Also, postoperative nausea and vomiting were not statistically significant (RR 1.00, 95% CI 0.78∼1.27). Conclusion: TAP block appears to significantly reduce renal transplantation pain and the amount of opioid use on the first postoperative day after renal transplantation.
References
1.
Sayegh
MH
, Carpenter
CB
. Transplantation 50 years later-progress, challenges, and promises
. N Engl J Med
. 2004
;351
(26
):2761
–6
.2.
Craig
RG
, Hunter
JM
. Recent developments in the perioperative management of adult patients with chronic kidney disease
. Br J Anaesth
. 2008
;101
(3
):296
–310
.3.
Higgins
J
, Deeks
J
. Selecting studies and collecting data. In. Cochrane Handbook for systematic reviews of Interventions.Ver.510
The Cochrane Collaboration
2011
. Available from: http://www.cochrane-handbook.org.4.
Choi
S
, Rodseth
R
, McCartney
CJL
. Effects of dexamethasone as a local anaesthetic adjuvant for brachial plexus block: a systematic review and meta-analysis of randomized trials
. Br J Anaesth
. 2014
;112
(3
):427
–39
.5.
Yang
P
, Luo
Y
, Lin
L
, Zhang
H
, Liu
Y
, Li
Y
. The efficacy of transversus abdominis plane block with or without dexmedetomidine for postoperative analgesia in renal transplantation. A randomized controlled trial
. Int J Surg
. 2020
;79
:196
–201
.6.
Yeap
YL
, Wolfe
JW
, Kroepfl
E
, Fridell
J
, Powelson
JA
. Transversus abdominis plane (TAP) block for laparoscopic live donor nephrectomy: continuous catheter infusion provides no additional analgesic benefit over single-injection ropivacaine
. Clin Transplant
. 2020
;34
(6
):e13861
.7.
Zhengxiaojian
, Shuhua
, Zhangmin
. Optimized efficacy of tranversus abdominis plane block comine with oxycodone in patients under going kidney transplantion
. Chin J Anesthesiol
. 2018
;38
(4
):459
–61
.8.
Xian
S
, Zhang
J
, Hui
LI
, Wang
C
. Efficacy of preoperative transversus abdominis plane block for posperative pain control and renal function in renal transplant
. J Guizhou Med Univ
. 2018
;43
(9
):1084
–7
.9.
Ibrahim
TH
, Abdellatif
MK
, Osama
FM
. Efficacy of the transversus abdominis plane block using 30 mL bupivacaine 0.25% in reducing postoperative fentanyl requirements in renal transplant recepients
. Ainshams J Anaesthesiol
. 2017
;10
:258
–63
.10.
Liji
, Kexijian
, Chenkun
, Chenmingbing
, Meiwei
. Efficacy of transversus abdominis plane block on postoperative analgesia after renal transplantation
. Chin J Anesthesiol
. 2017
;37
(11
):1354
–5
.11.
Farag
E
, Guirguis
MN
, Helou
M
, Dalton
JE
, Ngo
F
. Continuous transversus abdominis plane block catheter analgesia for postoperative pain control in renal transplant
. J Anesth
. 2015
;29
(1
):4
–8
.12.
Abdelsalam
KMA
, Sultan
SS
. Effectiveness of ultrasound-guided transversus abdominis plane block for intraoperative and postoperative analgesia in kidney transplantation
. Ain Shams J Anaesthesiol
. 2015
;8
(1
):140
–3
.13.
Gopwani
SR
, Rosenblatt
MA
. Transversus abdominis plane block in renal allotransplant recipients: a retrospective chart review
. Saudi J Anaesth
. 2016
;10
(4
):375
–8
.14.
Güner Can
M
, Göz
R
, Berber
İ
, Kaspar
Ç
, Cakır
U
. Ultrasound/laparoscopic camera-guided transversus abdominis plane block for renal transplant donors: a randomized controlled trial
. Ann Transplant
. 2015
;20
:418
–23
.15.
Parikh
BK
, Waghmare
V
, Shah
VR
, Modi
P
, Rizvi
S
. The analgesic efficacy of continuous transversus abdominis plane block in renal transplant recipients
. J Anaesthesiol Clin Pharmacol
. 2015
;31
(4
):531
–4
.16.
Gulyam Kuruba
SM
, Mukhtar
K
, Singh
SK
. A randomised controlled trial of ultrasound-guided transversus abdominis plane block for renal transplantation
. Anaesthesia
. 2014
;69
(11
):1222
–6
.17.
Soltani Mohammadi
S
, Dabir
A
, Shoeibi
G
. Efficacy of transversus abdominis plane block for acute postoperative pain relief in kidney recipients: a double-blinded clinical trial
. Pain Med
. 2014
;15
(3
):460
–4
.18.
Parikh
BK
, Waghmare
VT
, Shah
VR
, Mehta
T
, Butala
BP
, Parikh
GP
. The analgesic efficacy of ultrasound-guided transversus abdominis plane block for retroperitoneoscopic donor nephrectomy: a randomized controlled study
. Saudi J Anaesth
. 2013
;7
(1
):43
–7
.19.
Badawy
AA
, Refaie
A
, Samir
I
. The analgesic effect of a perioperative continuous transversus abdominis plane block in renal transplanted patients
. Egypt J Cardiothorac Anesth
. 2013
;7
:32
–5
.20.
Freir
NM
, Murphy
C
, Mugawar
M
, Linnane
A
, Cunningham
AJ
. Transversus abdominis plane block for analgesia in renal transplantation: a randomized controlled trial
. Anesth Analg
. 2012
;115
(4
):953
–7
.21.
Hosgood
SA
, Thiyagarajan
UM
, Nicholson
HFL
, Jeyapalan
I
, Nicholson
ML
. Randomized clinical trial of transversus abdominis plane block versus placebo control in live-donor nephrectomy
. Transplantation
. 2012
;94
(5
):520
–5
.22.
Rafi
AN
. Abdominal field block: a new approach via the lumbar triangle
. Anaesthesia
. 2001
;56
(10
):1024
–6
.23.
Hebbard
P
, Fujiwara
Y
, Shibata
Y
, Royse
C
. Ultrasound-guided transversus abdominis plane (TAP) block
. Anaesth Intensive Care
. 2007 Aug
35
4
616
7
.24.
Tran
TMN
, Ivanusic
JJ
, Hebbard
P
, Barrington
MJ
. Determination of spread of injectate after ultrasound-guided transversus abdominis plane block: a cadaveric study
. Br J Anaesth
. 2009 Jan
102
1
123
7
.25.
Matulewicz
RS
, Patel
M
, Jordan
BJ
, Morano
J
, Frainey
B
, Bhanji
Y
. Transversus abdominis plane blockade as part of a multimodal postoperative analgesia plan in patients undergoing radical cystectomy
. Bladder Cancer
. 2018
;4
(2
):161
–7
.26.
Mittal
T
, Dey
A
, Siddhartha
R
, Nali
A
, Sharma
B
, Malik
V
. Efficacy of ultrasound-guided transversus abdominis plane (TAP) block for postoperative analgesia in laparoscopic gastric sleeve resection: a randomized single blinded case control study
. Surg Endosc
. 2018
;32
(12
):4985
–9
.27.
Fiala
T
. Tranversus abdominis plane block during abdominoplasty to improve postoperative patient comfort
. Aesthet Surg J
. 2015 Jan
35
1
72
80
.28.
Gao
T
, Zhang
JJ
, Xi
FC
, Shi
JL
, Tan
SJ
. Evaluation of transversus abdominis plane (TAP) block in hernia surgery: a meta-analysis
. Clin J Pain
. 2017
;33
:369
–75
.29.
Peng
K
, Ji
FH
, Liu
HY
, Wu
SR
. Ultrasound-guided transversus abdominis plane block for analgesia in laparoscopic cholecystectomy: a systematic review and meta-analysis
. Med Princ Pract
. 2016
;25
(3
):237
–46
.30.
Mishriky
BM
, George
RB
, Habib
AS
. Transversus abdominis plane block for analgesia after Cesarean delivery: a systematic review and meta-analysis
. Can J Anaesth
. 2012
;59
(8
):766
–78
.31.
McDonnell
JG
, O’Donnell
BD
, Farrell
T
, Gough
N
, Tuite
D
, Power
C
. Transversus abdominis plane block: a cadaveric and radiological evaluation
. Reg Anesth Pain Med
. 2007
;32
(5
):399
–404
.© 2023 S. Karger AG, Basel
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
2023
You do not currently have access to this content.
