Laparoscopic versus ultrasound guided Transversus Abdominis Plane (TAP) block for postoperative analgesia after radical prostatectomy: A randomized controlled trial

You have accessJournal of UrologyCME1 May 2022MP32-20 LAPAROSCOPIC VERSUS ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK FOR POSTOPERATIVE ANALGESIA AFTER RADICAL PROSTATECTOMY: A RANDOMIZED CONTROLLED TRIAL Angelo Civitella, Francesco Prata, Piergiorgio Tuzzolo, Luca Romei, Vito Giuseppe Crimi, Francesco Tedesco, Alberto Ragusa, Noemi Deanesi, Antonio Testa, Loris Cacciatore, Gerardo Paolo Flammia, Antonio Alcini, Annamaria Salerno, Salvatore Mario Prata, Francesco Esperto, Roberto Mario Scarpa, and Rocco Papalia Angelo CivitellaAngelo Civitella More articles by this author , Francesco PrataFrancesco Prata More articles by this author , Piergiorgio TuzzoloPiergiorgio Tuzzolo More articles by this author , Luca RomeiLuca Romei More articles by this author , Vito Giuseppe CrimiVito Giuseppe Crimi More articles by this author , Francesco TedescoFrancesco Tedesco More articles by this author , Alberto RagusaAlberto Ragusa More articles by this author , Noemi DeanesiNoemi Deanesi More articles by this author , Antonio TestaAntonio Testa More articles by this author , Loris CacciatoreLoris Cacciatore More articles by this author , Gerardo Paolo FlammiaGerardo Paolo Flammia More articles by this author , Antonio AlciniAntonio Alcini More articles by this author , Annamaria SalernoAnnamaria Salerno More articles by this author , Salvatore Mario PrataSalvatore Mario Prata More articles by this author , Francesco EspertoFrancesco Esperto More articles by this author , Roberto Mario ScarpaRoberto Mario Scarpa More articles by this author , and Rocco PapaliaRocco Papalia More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002581.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To evaluate the efficacy of laparoscopic TAP block in relation to the US-TAP block comparing: surgery time, operating room time, post-operative pain, use of opioids and hospitalization in patients undergoing laparoscopic radical prostatectomy. METHODS: From January 2021 to June 2021, 60 consecutive patients undergoing laparoscopic radical prostatectomy were enrolled and randomized in two groups receiving US or LAP guided TAP block. The primary outcome was pain score expressed by a 0-10 Visual Analogic Scale (VAS) evaluated in the first 72 hours after surgery. Secondary outcomes included postoperative opioid consumption, surgical time, complications, time to ambulation and total hospital length of stay. RESULTS: No statistically significant differences were observed between the two groups in surgery time, blood loss, time to ambulation, length of stay and pain after surgery. In the LAP tap-block group the overall operating room time was significantly shorter than in the US tap-block group (140’ vs 152’ P=0,04). CONCLUSIONS: Laparoscopic approach compared to US-TAP block was equally safe, not inferior in reducing analgesic drugs use post operatively. Moreover, the LAP TAP block has proven to be a time sparing procedure. Further studies with a larger sample are expected to confirm the efficacy LAP guided TAP block in urologic surgery. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e540 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Angelo Civitella More articles by this author Francesco Prata More articles by this author Piergiorgio Tuzzolo More articles by this author Luca Romei More articles by this author Vito Giuseppe Crimi More articles by this author Francesco Tedesco More articles by this author Alberto Ragusa More articles by this author Noemi Deanesi More articles by this author Antonio Testa More articles by this author Loris Cacciatore More articles by this author Gerardo Paolo Flammia More articles by this author Antonio Alcini More articles by this author Annamaria Salerno More articles by this author Salvatore Mario Prata More articles by this author Francesco Esperto More articles by this author Roberto Mario Scarpa More articles by this author Rocco Papalia More articles by this author Expand All Advertisement PDF downloadLoading ...