在腹腔镜内修复腹腔椎间的横腹腹部平面块:一篇综述
G Hubbard1,2, C Hubert3, L Vudayagiri4
1Department of Surgery, Western Reserve Hospital, 1900 23rd St, Cuyahoga Falls, OH, 44223, USA. ghubb22@gmail.com.
概括
横腹平面 (TAP) 块显著改善了手术后的疼痛控制和流动性,用于腹腔镜 inguinal hernia 修复. 这些阻断剂减少了阿片类药物的使用,并提高了患者的满意度,使它们成为外科手术实践的宝贵补充.
科学领域:
- 手术麻醉学手术麻醉学
- 疼痛管理 疼痛管理
- 最少侵入性的手术
背景情况:
- inguinal hernia 修复疼痛控制方面的进展包括局部区域麻醉.
- 横腹平面 (TAP) 块代表了这一领域的近期发展.
- 有大量关于腹腔镜 inguinal hernia 修复和 TAP 阻塞的文献.
研究的目的:
- 系统地审查有关TAP阻断在腹腔镜上修复 inguinal 的疗效的文献.
- 整合有关TAP块在改善术后结果方面的证据.
主要方法:
- 使用PubMed和谷歌学者进行了系统的文献搜索.
- 搜索术语包括"TAP阻断"和"镜 inguinal Hernia 修复".
- 适用资格标准从最初的166个确定中选择了相关出版物.
主要成果:
- 最终审查中包括了18个出版物.
- 大多数研究表明,TAP阻塞后手术后疼痛和运动能力有所改善.
- 与其他方法相比,TAP阻断显示了阿片类止痛药使用量的减少.
结论:
- 在腹腔镜上修复 inguinal hernia 时,TAP 阻塞优于其他区域麻醉方式来控制疼痛.
- 建议定期考虑TAP阻塞,以改善术后结果和患者满意度.
- 这一审查支持将TAP块纳入腹腔镜 inguinal hernia修复的标准手术实践.
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