Document Detail


A Comparative Study of the Transversus Abdominis Plane (TAP) Block Efficacy on Post-bariatric vs Aesthetic Abdominoplasty with Flank Liposuction.
MedLine Citation:
PMID:  20517653     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The transversus abdominis plane (TAP) block acts on the nerves localised in the anterior abdominal wall muscles. We evaluated the efficacy on post-bariatric (PB) patients undergoing body-contouring abdominoplasty. We retrospectively evaluated PB patients undergoing abdominoplasty with flank liposuction and compared results to a matched group of TAP aesthetic patients. Outcomes evaluated were the analgesic requirements during the early postoperative days. Fifty-one patients (PB n = 27, aesthetic n = 24) were assessed. No complications were observed. All PB patients required analgesia until the second postoperative day contrarily to most aesthetic ones. Patients with greater flap resected and higher pre-abdominoplasty BMI had greater morphine consumptions. In PB patients, the larger amount of tissues resected corresponded to a greater stimulation of pain fibres that cannot be paralleled by a concomitant increase of the local anesthetic administered. This partially invalidates TAP's efficacy on PB patients.
Authors:
Gianpiero Gravante; Francesca Castrì; Francesco Araco; Antonino Araco
Related Documents :
6588193 - Etidocaine hcl local anesthetic for periodontal flap surgery.
10594583 - Ropivacaine: an important anesthetic agent for slow infusion and other forms of tumesce...
12813393 - Chronic venous ulcer treatment with fascial pedunculated graft.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  21     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  278-82     Citation Subset:  IM    
Affiliation:
Department of Upper Gastrointestinal Surgery, Frenchay Hospital, Frenchay Park Road, Bristol, BS16 1LE, UK, ggravante@hotmail.com.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Plasma ghrelin levels and polymorphisms of ghrelin gene in Chinese obese children and adolescents.
Next Document:  Is the Roux limb a determinant for meal size after gastric bypass surgery?