Case report highlights low pain scores with the perichondrial approach nerve block in aesthetic surgeries, suggesting its safety and effectiveness.
A 22-year-old female patient, who had lost 44 kg after sleeve gastrectomy, underwent combined mammoplasty and abdominoplasty for postbariatric skin redundancy. Bilateral modified thoracoabdominal nerve block through perichondrial approach (M-TAPA) was performed for perioperative analgesia. The 250-minute surgery was completed without additional analgesics. Postoperative pain scores (Numerical Rating Scale [NRS] ≤3) remained low, no opioids were required, and no complications were observed. The Quality of Recovery-15 (QoR-15) score at 24 hours was 143. This case may suggest that the M-TAPA block is a safe and effective analgesic option in extensive aesthetic surgeries involving both thoracic and abdominal regions.
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Tekcan et al. (2025) studied this question.
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