Experience of the use of transverse abdominal plane (TAP) block during hernia repair in a high risk patients (clinical observation)


O.A. Makharin1,2, M.L. Skoblo2

1 Rostov state medical University, Department of anesthesiology and reanimatology, Rostov-on-Don

2 City hospital № 6, Rostov-on-Don

For correspondence: Oleg A. Makharin — MD, assistant of Department of anesthesiology and reanimatology of Rostov state medical university, Rostov-on-don; e-mail: olegmaharin@yandex.ru

For citation: Makharin OA, Skoblo ML. Experience of the Use of Transverse Abdominal Plane (TAP) Block During Hernia Repair in a High Risk Patients (Clinical Observation). Alexander Saltanov Intensive Care Herald. 2018;1:75–8.

DOI: 10.21320/1818-474X-2018-1-75-78

Can we use TAP-block as a method of anesthesia during surgery, and if so, when? The number of patients with severe concomitant pathology is increasing every year. Such patients long-term taking a number of medications, including anticoagulants, which are limited the use of neuroaxial anesthesia techniques. Blockade of peripheral nerves under ultrasound guidance is a relatively safe method of pain relief that is gaining popularity. This article describes a clinical case of the use of TAP-block during hernia repair to the patient with severe cardiovascular pathology, in which general or spinal anesthesia could be associated with high risk of complications both during operation and in early postoperative period.

Keywords: TAP-block, anesthesia, hernia repair

Received: 12.12.2017

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  1. Fleisher L.A., Fleischmann K.E., Auerbach A.D., et al. ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: A Report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J. Am. Coll. Cardiol. 2014; 64: 77–137. doi:10.1007/s12350-014-0025-z.
  2. ЗаболотскийД.В., Ульрих Г.Э., Малашенко Н.С., Кулев А.Г. Ультразвук в руках анестезиолога — эксклюзив или рутина? Регионарная анестезия и лечение острой боли, 2012; 6(1): 5–10. [Zabolotskiy D.V., Ulrikh G.E., Malashenko N.S., Kulev A.G. Ultrasound in anesthesilogical practice — exclusive or routine? Regional anesthesia and treatment of acute pain, 2012; 6(1): 5–10. (In Russ)]
  3. Horlocker T.T. Regional anaesthesia in the patient receiving antithrombotic and antiplatelet therapy. Br. J. Anaesth. 2011; 107: 96–106. doi: 10.1093/bja/aer381.
  4. Milone M., Di Minno M.N., Musella M., et al. Outpatient inguinal hernia repair under local anaesthesia: feasibility and efficacy of ultrasound-guided transversus abdominis plane block. Hernia. 2013; 17(6): 749–755. doi: 10.1007/s10029-012-1022-2.
  5. Овечкин А.М. Послеоперационное обезболивание в акушерстве и гинекологии: аналитический обзор. Регионарная анестезия илечение острой боли, 2014; 8(2): 5–16. [Ovechkin A.M. Postoperative analgesia in obstetrics and gynecology: foreign guidelines and our reality. Regional anesthesia and treatment of acute pain, 2014; 8(2): 5–16. (In Russ)]
  6. ТеплыхБ.А., Лисиченко И.А., Левчук А.Л. Выбор метода анестезии при грыжесечении у пациента с дилатационной кардиомиопатией. Вестн. Национального медико-хирургического центра им. Н.И. Пирогова, 2014; 9(2): 118–120. [Teplykh B.A., Lisichenko I.A. Liauchuk A.L. Choice of anesthesia in a herniotomy with and dilated cardiomyopathy. Bulletin of the National medical and surgical center of N.I. Pirogov, 2014; 9(2): 118–120. (In Russ)]
  7. Bihani P., Bhatia P., Chhabra S., et al. Can ultrasound-guided subcostal transverse abdominis plane block be used as sole anesthetic technique? Saudi. J. Anaesth. 2017; 11(1): 111–113. doi: 10.4103/1658–354X.197357.
  8. Takebayashi K., Matsumura M., Kawai Y., et al. Efficacy of transversus abdominis plane block and rectus sheath block in laparoscopic inguinal hernia surgery. Int.Surg. 2015; 100(4): 666–671. doi: 10.9738/INTSURG-D-14-00193.1.