Optimization of perioperative analgesia in abdominoplasty using TAP block

Authors:

Руслан Авельевич Виноградов,

Артем Владимирович Коробов,

Игорь Сергеевич Васильев

Журнал: Пластическая хирургия и эстетическая медицина. 2026;(2):28-32.

DOI: 10.17116/plast.hirurgia202602128

Read: 1426 раз

Download PDF (RU)Download PDF (EN)

Abstract

OBJECTIVE

To evaluate the effectiveness of Transversus Abdominis Plane (TAP) block as a part of multimodal perioperative analgesia in abdominoplasty.

MATERIAL AND METHODS

A prospective controlled study included 20 female patients aged 30–38 years who underwent abdominoplasty under general anesthesia. Patients were divided into two groups: group 1 (n=10) received only general anesthesia, while group 2 (n=10) received general anesthesia combined with TAP block using 0.5% ropivacaine. Pain intensity was assessed using VAS scale after 1, 6, 12, and 24 postoperative hours. Consumption of opioids, time to first mobilization, and hospital stay were analyzed.

RESULTS

TAP block showed significantly lower (p<0.0001) postoperative pain (VAS score≤4), reduced need for tramadol, earlier mobilization (within 1 hour), and shorter hospital stay.

CONCLUSION

TAP block in perioperative analgesia for abdominoplasty enhances pain control, reduces opioid requirements, and promotes early rehabilitation (Enhanced Recovery After Surgery — ERAS).

Keywords

abdominoplasty
TAP block
perioperative analgesia
multimodal analgesia
opioid-sparing analgesia

Дата поступления: 18.09.2025

Дата принятия в печать: 12.01.2026

Дата публикации: 22.05.2026

References

Simonnet G, Rivat C. Opioid-induced hyperalgesia: abnormal or normal pain? Neuroreport. 2003 Jan 20;14(1):1-7. PMID: 12544821. https://doi.org/10.1097/00001756-200301200-00001
Célèrier E, Rivat C, Jun Y, Laulin JP, Larcher A, Reynier P, Simonnet G. Long-lasting hyperalgesia induced by fentanyl in rats: preventive effect of ketamine. Anesthesiology. 2000 Feb;92(2):465-472. PMID: 10691234. https://doi.org/10.1097/00000542-200002000-00029
Kehlet H, Dahl JB. The value of “multimodal” or “balanced analgesia” in postoperative pain treatment. Anesth Analg. 1993;77(5):1048-1056. https://doi.org/10.1213/00000539-199311000-00030
Wu CL, Raja SN. Treatment of acute postoperative pain. Lancet. 2011; 377(9784):2215-2225. https://doi.org/10.1016/S0140-6736(11)60245-6
Wick EC, Grant MC, Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques: A Review. JAMA Surg. 2017;152:691-697.
Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Carter T, Cassidy CL, Chittenden EH, Degenhardt E, Griffith S, Manworren R, McCarberg B, Montgomery R, Murphy J, Perkal MF, Suresh S, Sluka K, Strassels S, Thirlby R, Viscusi E, Walco GA, Warner L, Weisman SJ, Wu CL. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016 Feb;17(2):131-157. Erratum in: J Pain. 2016 Apr;17(4):508-510. Dosage error in article text. PMID: 26827847. https://doi.org/10.1016/j.jpain.2016.02.002
Ovechkin AM, Yavorovskiy AG. Bezopioidnaya anal’geziya v khirurgii: ot teorii k praktike. Rukovodstvo dlya vrachej. M. 2019. (In Russ.).
Kehlet H. Postoperative opioid sparing to hasten recovery: what are the issues? Anesthesiology. 2005;102:1083-1085.
De Oliveira GS Jr, Castro-Alves LJ, Nader A, Kendall MC, McCarthy RJ. Transversus abdominis plane block to ameliorate postoperative pain outcomes after laparoscopic surgery: a meta-analysis of randomized controlled trials. Anesth Analg. 2014 Feb;118(2):454-463. PMID: 24445643. https://doi.org/10.1213/ANE.0000000000000066
Zhao X, Tong Y, Ren H, Ding XB, Wang X, Zong JY, Jin SQ, Li Q. Transversus abdominis plane block for postoperative analgesia after laparoscopic surgery: a systematic review and meta-analysis. Int J Clin Exp Med. 2014 Sept 15; 7(9):2966-75. PMID: 25356170; PMCID: PMC4211820..
Brogi E, Kazan R, Cyr S, Giunta F, Hemmerling TM. Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials. Can J Anaesth. 2016 Oct;63(10): 1184-1196. Epub 2016 June 15. PMID: 27307177. https://doi.org/10.1007/s12630-016-0679-x
Abdallah FW, Chan VWS, Brull R. Transversus abdominis plane block: a systematic review. Reg Anesth Pain Med. 2012;37(2):193-209. https://doi.org/10.1097/AAP.0b013e3182429535
El-Dawlatly AA, Turkistani A, Kettner SC, Machata AM, Delvi BM, Thalaj A, Marhofer P. Ultrasound-guided transversus abdominis plane block: description of a new technique and comparison with conventional systemic analgesia during laparoscopic cholecystectomy. Br J Anaesth. 2009;102(6): 763-767. https://doi.org/10.1093/bja/aep013
McDonnell JG, O’Donnell BD, Farrell T, Gough N, Tuite D, Power C, Laffey JG. Transversus abdominis plane block: a cadaveric and radiological evaluation. Reg Anesth Pain Med. 2007;32(5):399-404. https://doi.org/10.1016/j.rapm.2007.03.011

Optimization of perioperative analgesia in abdominoplasty using TAP block

Authors:

Руслан Авельевич Виноградов,

Артем Владимирович Коробов,

Игорь Сергеевич Васильев

Журнал: Пластическая хирургия и эстетическая медицина. 2026;(2):28-32.

DOI: 10.17116/plast.hirurgia202602128

Read: 1426 раз

Download PDF (RU)Download PDF (EN)

Abstract

OBJECTIVE

To evaluate the effectiveness of Transversus Abdominis Plane (TAP) block as a part of multimodal perioperative analgesia in abdominoplasty.

MATERIAL AND METHODS

RESULTS

TAP block showed significantly lower (p<0.0001) postoperative pain (VAS score≤4), reduced need for tramadol, earlier mobilization (within 1 hour), and shorter hospital stay.

CONCLUSION

TAP block in perioperative analgesia for abdominoplasty enhances pain control, reduces opioid requirements, and promotes early rehabilitation (Enhanced Recovery After Surgery — ERAS).

Keywords

abdominoplasty
TAP block
perioperative analgesia
multimodal analgesia
opioid-sparing analgesia

Дата поступления: 18.09.2025

Дата принятия в печать: 12.01.2026

Дата публикации: 22.05.2026

References

Simonnet G, Rivat C. Opioid-induced hyperalgesia: abnormal or normal pain? Neuroreport. 2003 Jan 20;14(1):1-7. PMID: 12544821. https://doi.org/10.1097/00001756-200301200-00001
Célèrier E, Rivat C, Jun Y, Laulin JP, Larcher A, Reynier P, Simonnet G. Long-lasting hyperalgesia induced by fentanyl in rats: preventive effect of ketamine. Anesthesiology. 2000 Feb;92(2):465-472. PMID: 10691234. https://doi.org/10.1097/00000542-200002000-00029
Kehlet H, Dahl JB. The value of “multimodal” or “balanced analgesia” in postoperative pain treatment. Anesth Analg. 1993;77(5):1048-1056. https://doi.org/10.1213/00000539-199311000-00030
Wu CL, Raja SN. Treatment of acute postoperative pain. Lancet. 2011; 377(9784):2215-2225. https://doi.org/10.1016/S0140-6736(11)60245-6
Wick EC, Grant MC, Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques: A Review. JAMA Surg. 2017;152:691-697.
Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Carter T, Cassidy CL, Chittenden EH, Degenhardt E, Griffith S, Manworren R, McCarberg B, Montgomery R, Murphy J, Perkal MF, Suresh S, Sluka K, Strassels S, Thirlby R, Viscusi E, Walco GA, Warner L, Weisman SJ, Wu CL. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016 Feb;17(2):131-157. Erratum in: J Pain. 2016 Apr;17(4):508-510. Dosage error in article text. PMID: 26827847. https://doi.org/10.1016/j.jpain.2016.02.002
Ovechkin AM, Yavorovskiy AG. Bezopioidnaya anal’geziya v khirurgii: ot teorii k praktike. Rukovodstvo dlya vrachej. M. 2019. (In Russ.).
Kehlet H. Postoperative opioid sparing to hasten recovery: what are the issues? Anesthesiology. 2005;102:1083-1085.
De Oliveira GS Jr, Castro-Alves LJ, Nader A, Kendall MC, McCarthy RJ. Transversus abdominis plane block to ameliorate postoperative pain outcomes after laparoscopic surgery: a meta-analysis of randomized controlled trials. Anesth Analg. 2014 Feb;118(2):454-463. PMID: 24445643. https://doi.org/10.1213/ANE.0000000000000066
Zhao X, Tong Y, Ren H, Ding XB, Wang X, Zong JY, Jin SQ, Li Q. Transversus abdominis plane block for postoperative analgesia after laparoscopic surgery: a systematic review and meta-analysis. Int J Clin Exp Med. 2014 Sept 15; 7(9):2966-75. PMID: 25356170; PMCID: PMC4211820..
Brogi E, Kazan R, Cyr S, Giunta F, Hemmerling TM. Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials. Can J Anaesth. 2016 Oct;63(10): 1184-1196. Epub 2016 June 15. PMID: 27307177. https://doi.org/10.1007/s12630-016-0679-x
Abdallah FW, Chan VWS, Brull R. Transversus abdominis plane block: a systematic review. Reg Anesth Pain Med. 2012;37(2):193-209. https://doi.org/10.1097/AAP.0b013e3182429535
El-Dawlatly AA, Turkistani A, Kettner SC, Machata AM, Delvi BM, Thalaj A, Marhofer P. Ultrasound-guided transversus abdominis plane block: description of a new technique and comparison with conventional systemic analgesia during laparoscopic cholecystectomy. Br J Anaesth. 2009;102(6): 763-767. https://doi.org/10.1093/bja/aep013
McDonnell JG, O’Donnell BD, Farrell T, Gough N, Tuite D, Power C, Laffey JG. Transversus abdominis plane block: a cadaveric and radiological evaluation. Reg Anesth Pain Med. 2007;32(5):399-404. https://doi.org/10.1016/j.rapm.2007.03.011

Optimization of perioperative analgesia in abdominoplasty using TAP block

Abstract

OBJECTIVE

MATERIAL AND METHODS

RESULTS

CONCLUSION

Keywords

Recommended articles:

Optimization of perioperative analgesia in abdominoplasty using TAP block

Abstract

OBJECTIVE

MATERIAL AND METHODS

RESULTS

CONCLUSION

Keywords

Recommended articles: