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Abstract

The emblematic technique of this family of nerve blocks is represented by “TAP block” (transversus abdominis plane block). Whether performed “blindly” by means of the loss of resistance approach to the needle crossing of the musculoaponeurotic planes or indeed with ultrasound guidance, its principle consists of injecting a local anaesthetic between the transverse abdominal muscle (TA) and the internal oblique muscle into the transversus abdominis plane. Since the French translation of “transversus abdominis plane” leaves much to be desired, because it is a source of anatomical confusion (transverse muscle plane most often designating the muscular layer and not the fascial plane located at the surface of the transverse muscle), as a convention we will continue to call this space the “TAP”, and the corresponding technique of anaesthesia “TAP block”.

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Change history

  • 05 November 2023

    A correction has been published.

References

  1. Rizk NN. A new description of the anterior abdominal wall in man and mammals. J Anat. 1980;131:373–85.

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Rozen WM, Tran TM, Asqhton MW, Barrington MJ, Ivanisic JJ, Taylor GI. Refining the course of the thoracolumbar nerves: a new understanding of the innervation of the anterior abdominal wall. Clin Anat. 2008;21:325–33.

    Article  CAS  PubMed  Google Scholar 

  3. Rouvière H, Delmas A. Anatomie humaine descriptive, topographique et fonctionnelle 12e édition. Paris: Masson; 1985.

    Google Scholar 

  4. Papadopoulos NJ, Katritsis ED. Some observations on the course and relations of the iliohypogastrics and ilioinguinal nerves (based on 348 specimens). Anat Anz. 1981;149:357–64.

    CAS  PubMed  Google Scholar 

  5. Anson BJ. Morris' human anatomy. 12th ed. New York: The Blakiston Division, McGraw-Hill Book Company; 1966.

    Google Scholar 

  6. http://www.sfar.org/article/906/echographie-en-anesthesie-locoregionale-rfe-2011

  7. Petersen PL, Mathiesen O, Torup H, Dahl JB. The transversus abdominis plane: a valuable option for post-operative analgesia? Acta Anaesthesiol Scand. 2010;54:529–35.

    Article  CAS  PubMed  Google Scholar 

  8. Abdallah FW, Halpern SH, Margarido CB. Transversus abdominis plane block for post-operative analgesia after caesarean delivery performed under spinal anesthesia? A systematic review and meta-analysis. Br J Anaesth. 2012;109:679–87.

    Article  CAS  PubMed  Google Scholar 

  9. Kanazi GE, Aouad MT, Abdallah FW, Khatib MI, Adham AMBF, Harfoush DW, Siddik-Sayyid SM. The analgesic efficacy of subarachnoid morphine in comparison with ultrasound-guided transversus abdominis plane block after cesarean delivery: a randomized controlled trial. Anesth Analg. 2010;111:475–81.

    Article  CAS  PubMed  Google Scholar 

  10. Fredrickson MJ, Paine C, Hamill J. Improved analgesia with the ilioinguinal block compared to the transversus abdominis plane block after pediatric inguinal surgery: a prospective randomized trial. Ped Anesth. 2010;20:1022–7.

    Article  Google Scholar 

  11. Petersen PL, Stjernholm P, Kristiansen VB, Torup H, Hansen EG, Mitchell AU, Moeller A, Rosenberg J, Dahl JB, Mathiesen O. The beneficial effect of transversus abdominis plane block after laparoscopic cholecystectomy in day-case surgery: a randomized clinical trial. Anesth Analg. 2012;115:527–33.

    Article  CAS  PubMed  Google Scholar 

  12. Niraj G, Kelkar A, Jeyapalan I, Graff-Baker P, Williams O, Darbar A, Maheshwaran A, Powell R. Comparison of analgesic efficacy of subcostal transverses abdominis plane blocks with epidural analgesia following upper abdominal surgery. Anesthesia. 2011;66:465–71.

    Article  CAS  Google Scholar 

  13. Barrington MJ, Ivanusic JJ, Rozen WM, Hebbard P. Spread of injectate after ultrasound-guided subcostal transversus abdominis plane block: a cadaveric study. Anesthesia. 2009;64:745–50.

    Article  CAS  Google Scholar 

  14. Albrecht E, Kirkham KR, Endersby RV, Chan VW, Jackson T, Okrainec A, Penner T, Jin R, Brull R. Ultrasound-guided transversus abdominis plane (TAP) block for laparoscopic gastric-bypass surgery: a prospective randomized controlled double-blinded trial. Obes Surg. 2013;23:1309–14.

    Article  PubMed  Google Scholar 

  15. Ortiz J, Suliburk JW, Wu K, Bailard NS, Mason C, Minard CG, Palvadi RR. Bilateral transversus abdominis plane block does not decrease post-operative pain after laparoscopic cholecystectomy when compared with local anesthetic infiltration of trocar insertion sites. Reg Anesth Pain Med. 2012;37:188–92.

    Article  CAS  PubMed  Google Scholar 

  16. Hebbard P, Fujiwara Y, Shibata Y, Royse C. Ultrasound-guided transversus abdominis plan (TAP) block. Anaesth Intensive Care. 2007;35:616–7.

    CAS  PubMed  Google Scholar 

  17. Johr M, Sossai R. Colonic puncture during ilioinguinal nerve block in a child. Anesth Analg. 1999;88:1051–2.

    CAS  PubMed  Google Scholar 

  18. Salib Y, Kukreja PK, Parikh MK. Prolonged femoral nerve palsy after Ilio-inguinal nerve block. Reg Anesth Pain Med. 2007;271

    Google Scholar 

  19. Rosario DJ, Jacob S, Luntley J, Skinner PP, Raftery AT. Mechanism of femoral nerve palsy complicating percutanous Ilio-inguinal nerve block. Br J Anaesth. 1997;78:314–6.

    Article  CAS  PubMed  Google Scholar 

  20. Wulf H, Behnke H, Vogel I, Schröder J. Clinical usefulness, safety, and plasma concentrations of ropivacaine 0,5% for inguinal hernia repair in regional analgesia. Reg Anest Pain Med. 2001;26:348–51.

    Article  CAS  Google Scholar 

  21. Abrahams MS, Horn JL, Noles M, Aziz MF. Evidence-based medicine. Ultrasound guidance for truncal blocks. Reg Anesth Pain Med. 2010;35:S36–42.

    Article  PubMed  Google Scholar 

  22. Tran TM, Ivanusic JJ, Hebbard P, Barrington MJ. Determination of spread of injectate after ultrasound-guided transversus abdominis plane block: a cadaveric study. Br J Anaesth. 2009;102:123–7.

    Article  CAS  PubMed  Google Scholar 

  23. Ford S, Dosani M, Robinson AJ, Campbell GC, Ansermino JM, Lim J. Lauder GR defining the reliability of sonoanatomy identification by novices in ultrasound-guided pediatric ilioinguinal and iliohypogastric nerve blockade. Anesth Analg. 2009:1793–8.

    Google Scholar 

  24. Willschke H, Marhofer P, Bösenberg A, Jonhston S, Wanzel O, Cox SG, Sitzwohl C, Kapral S. Ultrasonography for ilioinguinal/iliohypogastric nerve blocks in children. Br J Anaesth. 2005;95:226–30.

    Article  CAS  PubMed  Google Scholar 

  25. Willschke H, Bösenberg A, Marhofer P, Johndton S, Kettner S, Eichenberger U, Wanzel O, Kapral S. Ultrasonographic-guided ilioinguinal/iliohypogastric nerve block in pediatric anesthesia: what is the optimal volume? Anest Analg. 2006;102:1680–4.

    Article  CAS  Google Scholar 

  26. Weintraud M, Marhofer P, Bösenberg A, Kapral S, Willschke H, Felfening M, Kettner S. Ilioinguinal/iliohypogastric blocks in children: where do we administer the local anesthetic without direct visualization. Anesth Analg. 2008;106:86–93.

    Article  Google Scholar 

  27. Rozen WM, Tran TM, Barrington MJ. Ashton MW avoiding denervation of the rectus abdominis muscle in DIEP flap harvest III: a functional study of the nerves to the rectus using anesthetic blockade. Plast Reconstr Surg. 2009;124:519–22.

    Article  CAS  PubMed  Google Scholar 

  28. Ludot H. Application of ultrasound in paediatric abdominal trunk blocks. Ann Fr Anesth Réanim. 2012;31:e21–4.

    Article  CAS  PubMed  Google Scholar 

  29. Willschke H, Bösenberg A, Marhofer P, Johnston S, Kettner SC, Wanzel O, Kapral S. Ultrasonography-guided rectus sheath block in paediatric anesthesia: a new approach to an old technique. Br J Anaesth. 2006;97:244–9.

    Article  CAS  PubMed  Google Scholar 

  30. Husain NKA, Ravalia A. Ultrasound-guided ilioinguinal and rectus sheath block. Anesthesia. 2006;61:1116.

    Article  Google Scholar 

  31. Sandeman DJ, Dilley AV. Ultrasound-guided rectus sheath block and catheter placement. ANZ J Surg. 2008;78:621–3.

    Article  PubMed  Google Scholar 

  32. Dolan J, Lucie P, Geary T, Smith M, Kenny GN. The rectus sheath block: accuracy of local anesthetic placement by trainee anesthesiologists using loss of resistance on ultrasound guidance. Mag Anesth Pain Med. 2009;34:247–50.

    Article  Google Scholar 

  33. Kato J, Ueda K, Kondo Y, Aono M, Gokan D, Shimizu M, Ogawa S. Does ultrasound-guided rectus sheath block reduce abdominal pain in patients with postherpetic neuralgia? Anesth Analg. 2011;112:740–1.

    Article  PubMed  Google Scholar 

  34. Sasaoka N, Kawaguchi M, Yoshitani K, Kato H, Suzuki A, Furuya H. Evaluation of genitofemoral nerve block, in addition to ilioinguinal and iliohypogastric nerve block, during inguinal hernia repair in children. Br J Anaesth. 2005;94:243–6.

    Article  CAS  PubMed  Google Scholar 

  35. Campos NA, Chiles JH, Plunkett AR. Ultrasound-guided cryoablation of genitofemoral nerve for chronic inguinal pain. Pain Physician. 2009;12:997–1000.

    PubMed  Google Scholar 

  36. Peng PWH, Tumber PS. Ultrasound-guided interventional procedures for patients with chronic pelvic pain: a description of techniques and review of literature. Pain Physician. 2008;11:215–24.

    Article  PubMed  Google Scholar 

  37. Johansson B, Hallerbäck B, Stubberöd A, et al. Preoperative local infiltration with ropivacaine for post-operative pain relief after inguinal hernia repair. A randomised controlled trial. Eur J Surg. 1997;163:371–8.

    CAS  PubMed  Google Scholar 

  38. Weintraud M, Lunblad M, Kettner SC, Willschke H, Kapral S, Lönqvist PA, Koppatz K, Turnheim K, Bösenberg A, Marhofer P. Ultrasound versus landmark-based techniques for ilioinguinal-iliohypogastric nerve blockade in children: the implications of plasma levels of ropivacaine. Anesth Analg. 2009;108:1488–92.

    Article  CAS  PubMed  Google Scholar 

  39. http://www.sfar.org/article/336/anesthesie-loco-regionale-en-pediatrie-rfe-2010-maj-mars-2010

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Ultrasound guided Rectus Sheath Block, lateral in plane approach (MP4 179824 kb)

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Eisenberg, E., Gaertner, E., Clavert, P., Aveline, C. (2023). Abdominal Wall Nerve Blocks. In: Eisenberg, E., Gaertner, E. (eds) Ultrasound in Peripheral, Neuraxial and Perineuraxial Regional Anaesthesia. Springer, Cham. https://doi.org/10.1007/978-3-031-08804-9_9

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  • DOI: https://doi.org/10.1007/978-3-031-08804-9_9

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