Ultrasound/Laparoscopic Camera-Guided Transversus Abdominis Plane Block for Renal Transplant Donors: A Randomized Controlled Trial

Can M. G., Goz R., Berber İ., Kaspar C., Cakir Ü.

ANNALS OF TRANSPLANTATION, vol.20, pp.418-423, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 20
  • Publication Date: 2015
  • Doi Number: 10.12659/aot.893926
  • Journal Name: ANNALS OF TRANSPLANTATION
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.418-423
  • Keywords: Anesthesia, Conduction, Hand-Assisted Laparoscopy, Postoperative Care, ANALGESIC EFFICACY, NEPHRECTOMY, PAIN
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes

Abstract

Background: The most common treatment modality for postoperative pain relief following laparoscopic surgery is multimodal, using nonsteroidal antiinflammatory drugs (NSAID), opioids, and infiltration of local anesthetics. Because NSAIDs are nephrotoxic, local infiltration does not relieve deep tissue pain, and opioids have an adverse effects profile including pruritus, nausea, vomiting, oversedation, apnea, and decreased gastrointestinal motility. Therefore, the use of a regional analgesic technique can lead to an improved quality of recovery. The aim of this prospective, randomized, placebo-controlled study was to evaluate the effect of TAP block on postoperative verbal analog scale (VAS) scores and total morphine requirements in the first 24 hours after laparoscopic live donor nephrectomy.