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Review
. 2023 Aug;17(4):1193-1205.
doi: 10.1007/s11701-023-01535-9. Epub 2023 Jan 29.

Surgeon administered transversus abdominis plane block: anatomic principles and technique

Pushan Prabhakar  1 , Hariharan Palayapalayam Ganapathi  2 , Vishnu Suresh  3 , Anthony Farias  4 , Murugesan Manoharan  4   5
Affiliations
Review

Surgeon administered transversus abdominis plane block: anatomic principles and technique

Pushan Prabhakar et al. J Robot Surg. 2023 Aug.

Abstract

The Transversus Abdominis Plane (TAP) block is a regional abdominal wall block that has been effectively used as an adjunct to alleviate postoperative pain. The ultrasound-guided TAP (USTAP) administered by anesthesiologists is the gold standard and has been effective for surgeries involving abdominal wall incisions. Recently, the TAP block has been administered by surgeons with the help of direct visualization during minimally invasive surgery. The surgeon-administered or laparoscopic-guided TAP block has been compared to the USTAP with no discernible difference in patient outcomes. Also, directly visualizing the injection in the surgeon-administered block can offset complications such as visceral injury and block failure (injectate in the wrong plane). This review explores the literature's surgeon-administered TAP blocks for minimally invasive surgery in the literature. In addition, the prerequisite anatomy of the anterolateral abdominal wall, various approaches, and other factors that influence the efficacy of the block are described to increase awareness of this analgesic tool among surgeons and achieve better postoperative pain management.

Keywords: Field block; Laparoscopic; Surgeon administered; TAP block; Transversus abdominis.

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