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The modified thoracoabdominal nerve block for post-operative analgesia in paediatric laparoscopic cholecystectomy

Volkan Ozen1, Mehmet Eren Acik2, Nurten Ozen3

  • 1Department of Anesthesiology and Reanimation, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.

Journal of Minimal Access Surgery
|June 7, 2023
PubMed

Insights

A modified thoracoabdominal nerve block through a perichondrial approach (M-TAPA) provided effective pain relief for a pediatric patient undergoing laparoscopic cholecystectomy. This technique eliminated the need for additional analgesics in the first 24 hours post-surgery.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery

Background:

  • Post-operative pain management after pediatric laparoscopic cholecystectomy lacks sufficient data.
  • Effective analgesia is crucial for recovery in pediatric surgical patients.

Purpose of the Study:

  • To evaluate the effectiveness of the modified thoracoabdominal nerve block through a perichondrial approach (M-TAPA) for post-operative analgesia in pediatric laparoscopic cholecystectomy.
  • To address the gap in evidence regarding M-TAPA in pediatric patients.

Main Methods:

  • A modified thoracoabdominal nerve block through a perichondrial approach (M-TAPA) was administered prior to surgery.
  • The technique targets local anesthetic delivery to T5-T12 dermatomes for abdominal analgesia.

Main Results:

  • The pediatric patient experienced effective post-operative analgesia for 24 hours.
  • No additional analgesic medication was required during the post-operative period.

Conclusions:

  • The M-TAPA block is a potentially effective method for managing post-operative pain in pediatric laparoscopic cholecystectomy.
  • Further studies are warranted to confirm the efficacy and safety of M-TAPA in pediatric populations.

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