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Transversus abdominis plane blocks in laparoscopic inguinal hernia repair: a review

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Abstract

Introduction

Throughout its history, there have been significant advances in pain control of inguinal hernia repairs. One of the most recent developments is locoregional pain blocks. There is a multitude of literature available on laparoscopic inguinal hernia repair and transversus abdominis plane (TAP) blocks.

Objectives

This paper seeks to provide a thorough and systematic literature review on the role of TAP blocks in laparoscopic inguinal hernia repairs.

Methods

PubMed and Google Scholar were searched for relevant literature using predetermined medical subject heading (MeSH) terms: “(TAP block)” AND “(Laparoscopic inguinal hernia repair)”.

Results

A total of 166 publications were identified, from which 18 publications were included in the final review after eligibility criteria were applied.

Conclusion

The majority of studies conclude that TAP blocks performed in the setting of laparoscopic inguinal hernia repair improve post-operative pain and mobility, decrease opiate analgesic usage, and are superior in pain control compared to other modalities of regional anesthesia. Thus, to improve post-operative outcomes and patient satisfaction, TAP blocks should be heavily considered for routine use in surgical practice for laparoscopic inguinal hernia repair.

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Data availability statement

There was no data for this article, as it is a review paper.

References

  1. HerniaSurge Group (2018) International guidelines for groin hernia management. Hernia 22(1):1–165. https://doi.org/10.1007/s10029-017-1668-x

    Article  Google Scholar 

  2. Bullen NL, Massey LH, Antoniou SA, Smart NJ, Fortelny RH (2019) Open versus laparoscopic mesh repair of primary unilateral uncomplicated inguinal hernia: a systematic review with meta-analysis and trial sequential analysis. Hernia 23(3):461–472. https://doi.org/10.1007/s10029-019-01989-7

    Article  CAS  PubMed  Google Scholar 

  3. Matthews RD, Neumayer L (2008) Inguinal hernia in the 21st century: an evidence-based review. In brief Curr Probl Surg 45(4):257–259. https://doi.org/10.1067/j.cpsurg.2008.01.002

    Article  PubMed  Google Scholar 

  4. Tolver MA, Bisgaard JR (2012) Early pain after laparoscopic inguinal hernia repair: a qualitative systematic review. Acta Anaesthesiol Scand 56(5):549–557. https://doi.org/10.1111/j.1399-6576.2011.02633.x

    Article  CAS  PubMed  Google Scholar 

  5. Gao T, Zhang JJ, Xi FC, Shi JL, Lu Y, Tan SJ, Yu WK (2017) Evaluation of transversus abdominis plane (TAP) block in hernia surgery. Clin J Pain 33(4):369–375. https://doi.org/10.1097/AJP.0000000000000412

    Article  PubMed  Google Scholar 

  6. Tran DQ, Bravo D, Leurcharusmee P, Neal JM (2019) Transversus abdominis plane block: a narrative review. Anesthesiology 131(5):1166–1190. https://doi.org/10.1097/ALN.0000000000002842

    Article  CAS  PubMed  Google Scholar 

  7. Meyer A, Bonnet L, Bourbon M, Blanc P (2015) Totally extraperitoneal (TEP) endoscopic inguinal hernia repair with TAP (transversus abdominis plane) block as a day-case: a prospective cohort study. J Visc Surg 152(3):155–159. https://doi.org/10.1016/j.jviscsurg.2014.12.005

    Article  CAS  PubMed  Google Scholar 

  8. Chamzin A, Frountzas M, Gkiokas G, Kouskouni E, Xanthos T, Michalopoulos NV (2022) The effect of intraoperative transversus abdominis plane blocking on postoperative pain after laparoscopic transabdominal pre-peritoneal (TAPP) groin hernia repair. Front Surg 9:834050. https://doi.org/10.3389/fsurg.2022.834050

    Article  PubMed  PubMed Central  Google Scholar 

  9. Aleman R, Blanco DG, Funes DR, Montorfano L, Semien G, Szomstein S, Lo Menzo E, Rosenthal RJ (2021) Does transverse abdominis plane block increase the risk of postoperative urinary retention after inguinal hernia repair? JSLS 25(4):e2021.00015. https://doi.org/10.4293/JSLS.2021.00015

    Article  PubMed  PubMed Central  Google Scholar 

  10. Paasch C, Fiebelkorn J, DeSanto G, Aljedani N, Ortiz P, Gauger U, Boettge K, Full SH, Anders S, Hunerbein M (2020) Ultrasound- versus visual-guided transversus abdominis plane block prior to transabdominal preperitoneal inguinal hernia repair: a retrospective cohort study. Ann Med Surg 59:281–285. https://doi.org/10.1016/j.amsu.2020.09.017

    Article  CAS  Google Scholar 

  11. Paasch C, Fiebelkorn J, DeSanto G, Azarhoush S, Boettge K, Anders S, Gauger U, Strik MW (2020) The transversus abdominis plane block may reduce chronic postoperative pain one year after TAPP inguinal hernia repair. Ann Med Surg 55:190–194. https://doi.org/10.1016/j.amsu.2020.04.011

    Article  Google Scholar 

  12. Paasch C, Fiebelkorn J, Berndt N, DeSanto G, Aljedani N, Ortiz P, Gauger U, Boettge K, Anders S, Full SH, Strik MW (2020) The transversus abdominis plane block reduces the cumulative need of analgesic medication following inguinal hernia repair in TAPP technique: a retrospective single center analysis among 838 patients. Hernia 24(6):1371–1378. https://doi.org/10.1007/s10029-020-02156-z

    Article  CAS  PubMed  Google Scholar 

  13. Takebayashi K, Matsumura M, Kawai Y, Hoashi T, Katsura N, Fukuda S, Shimizu K, Inada T, Sato M (2015) Efficacy of transversus abdominis plane block and rectus sheath block in laparoscopic inguinal hernia surgery. Int J Surg 100(4):666–671. https://doi.org/10.9738/INTSURG-D-14-00193.1

    Article  Google Scholar 

  14. Kim MG, Kim SI, Ok SY, Kim SH, Lee SJ, Park SY, Lee SM, Jung BI (2012) The analgesic effect of ultrasound-guided transverse abdominis plane block after laparoscopic total extraperitoneal hernia repair. Korean J Anesthesiol 58(4):362–368. https://doi.org/10.4097/kjae.2010.58.4.362

    Article  CAS  Google Scholar 

  15. Sivapurapu V, Gopal SV, Solomon A (2021) Determination of the efficacy of ultrasound-guided bilateral transversus abdominis plane (US-TAP) block in laparoscopic total extraperitoneal (TEP) repair of unilateral hernia surgeries: a randomized controlled trial. J Anaesthesiol Clin Pharmacol 37(3):475–480. https://doi.org/10.4103/joacp.JOACP_353_19

    Article  PubMed  PubMed Central  Google Scholar 

  16. Arora S, Chhabra A, Subramaniam R, Arora MK, Misra MC, Bansal VK (2016) Transversus abdominis plane block for laparoscopic inguinal hernia repair: a randomized trial. J Clin Anesth 33:357–364. https://doi.org/10.1016/j.jclinane.2016.04.047

    Article  PubMed  Google Scholar 

  17. Hosni M, Soulios J, Francart D (2020) Ultrasound transversus abdominis plane (TAP) block versus local infiltration analgesia for acute and chronic postoperative pain control after laparoscopic bilateral hernia repair: a single-center randomized controlled trial. Acta Anaesthesiol Belg 71(4):171–174

    Article  Google Scholar 

  18. Mughal A, Khan A, Rehman J, Naseem H, Waldron R, Duggan M, Khan W, Barry K, Khan IZ (2018) Laparoscopic-assisted transversus abdominis plane block as an effective analgesic in total extraperitoneal inguinal hernia repair: a double-blind, randomized controlled trial. Hernia 22(5):821–826. https://doi.org/10.1007/s10029-018-1819-8

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Roy A, Bhoi D, Chhabra A, Mohan VK, Darlong V, Prasad G (2023) Quadratus lumborum block vs transversus abdominis plane block in laparoscopic trans-abdominal pre-peritoneal repair of inguinal hernia in adults: a randomised controlled trial. Indian J Anaesth 67(2):207–15. https://doi.org/10.4103/ija.ija_304_22

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Sørenstua M, Raeder J, Vamnes JS, Leonardsen AL (2023) Efficacy of a TAP block versus an anterior QLB for laparoscopic inguinal hernia repair: a randomised controlled trial. Acta Anaesthesiol Scand 67(2):221–229. https://doi.org/10.1111/aas.14160

    Article  CAS  PubMed  Google Scholar 

  21. Vaghela SS, Chaurasiya MK, Prakash R, Khan MP (2023) Ultrasound-guided quadratus lumborum block versus transversus abdominis plane block for laparoscopic inguinal hernia repair and appendicectomy using ropivacaine with dexmedetomidine. Cureus 15(1):e33450. https://doi.org/10.7759/cureus.33450

    Article  PubMed  PubMed Central  Google Scholar 

  22. Viñas J, Díaz E, Scaravonati R, Roche S, Brandi C, Campana J, Bertone S (2021) Laparoscopic-guided distal loco-regional anesthetic infiltration technique in TAPP inguinal hernia repair: a double blinded, randomized clinical trial. Surg Endosc 36(6):4312–4320. https://doi.org/10.1007/s00464-021-08775-6

    Article  PubMed  Google Scholar 

  23. Saito T, Iwamoto S, Murotani K, Hashimoto A, Kurahashi S, Fukami Y, Komatsu S, Kaneko K, Mishima H, Sano T (2021) Efficacy of celecoxib as preemptive analgesia for patients undergoing laparoscopic inguinal hernia repair: a randomized trial. Surg Today 51(7):1118–1125. https://doi.org/10.1007/s00595-020-02199-w

    Article  CAS  PubMed  Google Scholar 

  24. Colonna AL, Bellows BK, Enniss TM, Young JB, McCrum M, Nunez JM, Nirula R, Nelson R (2020) Reducing the pain: a cost-effectiveness analysis of transversus abdominis plane block using liposomal bupivacaine for outpatient laparoscopic ventral hernia repair. Surg Open Sci 2(2):75–80. https://doi.org/10.1016/j.sopen.2019.12.003

    Article  PubMed  PubMed Central  Google Scholar 

  25. Nair P, Behera CR, Patra RK, Shekar N, Rao LS, Pujari P, Panda B, Mishra A (2022) Efficacy and cost-effectiveness of laparoscopic transversus abdominis plane (TAP) block in laparoscopic cholecystectomy: a comparison with the non-TAP group. Cureus 14(11):e32038. https://doi.org/10.7759/cureus.32038

    Article  PubMed  PubMed Central  Google Scholar 

  26. Seagle BL, Miller ES, Strohl AE, Hoekstra A, Shahabi S (2017) Transversus abdominis plane block with liposomal bupivacaine compared to oral opioids alone for acute postoperative pain after laparoscopic hysterectomy for early endometrial cancer: a cost-effectiveness analysis. Gynecol Oncol Res Pract 4:12. https://doi.org/10.1186/s40661-017-0048-7

    Article  PubMed  PubMed Central  Google Scholar 

  27. Priyadarshini K, Behera BK, Tripathy BB, Misra S (2022) Ultrasound-guided transverse abdominis plane block, ilioinguinal/iliohypogastric nerve block, and quadratus lumborum block for elective open inguinal hernia repair in children: a randomized controlled trial. Reg Anesth Pain Med 47(4):217–221. https://doi.org/10.1136/rapm-2021-103201

    Article  PubMed  Google Scholar 

  28. Zhang Y, Wang YP, Wang HT, Xu YC, Lv HM, Yu Y, Wang P, Pei XD, Zhao JW, Nan ZH, Yang JJ (2022) Ultrasound-guided quadratus lumborum block provided more effective analgesia for children undergoing lower abdominal laparoscopic surgery: a randomized clinical trial. Surg Endosc 36(12):9046–9053. https://doi.org/10.1007/s00464-022-09370-z

    Article  PubMed  Google Scholar 

  29. Khanna S, Krishna Prasad GV, Sharma VJ, Biradar M, Bhasin D (2022) Quadratus lumborum block versus transversus abdominis plane block for post Caesarean analgesia: a randomized prospective controlled study. Med J Armed Forces India 78(Suppl 1):S82–S88. https://doi.org/10.1016/j.mjafi.2020.10.009

    Article  PubMed  Google Scholar 

  30. Kumar S (2006) Laparoscopically guided ilioinguinal nerve block for groin hernia repair. J Laparoendosc Adv Surg Tech A 16(6):562–564. https://doi.org/10.1089/lap.2006.16.562

    Article  PubMed  Google Scholar 

  31. Zhou Y, Chen M, Zhang Y, Zhou H, Yu X, Chen G (2019) Ilioinguinal/iliohypogastric nerve block versus transversus abdominis plane block for pain management following inguinal hernia repair surgery: a systematic review and meta-analysis of randomized controlled trials. Medicine 98(42):e17545. https://doi.org/10.1097/MD.0000000000017545

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Winslow ER, Quasebarth M, Brunt LM (2004) Perioperative outcomes and complications of open vs laparoscopic extraperitoneal inguinal hernia repair in a mature surgical practice. Surg Endosc 18(2):221–227. https://doi.org/10.1007/s00464-003-8934-y

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Western Reserve Hospital, 1900 23rd St, Cuyahoga Falls, OH, 44223, USA

    G. Hubbard, L. Vudayagiri, K. Merino, A. Vaidya & R. Gemma

  2. Kirksville College of Osteopathic Medicine, A.T. Still University, 800 W. Jefferson St, Kirksville, MO, 63501, USA

    C. Hubert

  3. Department of Surgery, University of Nevada-Las Vegas, 4505 S. Maryland Pkwy, Las Vegas, NV, 89154, USA

    J. Tullington

  4. Department of Graduate Medical Education, Western Reserve Hospital, 1900 23rd St, Cuyahoga Falls, OH, 44223, USA

    G. Hubbard

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Grant Hubbard, Claire Hubert, Lahari Vudayagiri, Jessica Tullington, Kristina Merino, Abhishek Vaidya, and Rick Gemma all declare that they have no conflict of interest. No funding was pursued or given for this paper.

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Hubbard, G., Hubert, C., Vudayagiri, L. et al. Transversus abdominis plane blocks in laparoscopic inguinal hernia repair: a review. Hernia 27, 1059–1065 (2023). https://doi.org/10.1007/s10029-023-02831-x

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