Mp58-07 Timing of Transversus Abdominis Plane Block (Tap) for Pain Control After Laparoscopic Radical Prostatectomy (Lrp)

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy III (MP58)1 May 2024MP58-07 TIMING OF TRANSVERSUS ABDOMINIS PLANE BLOCK (TAP) FOR PAIN CONTROL AFTER LAPAROSCOPIC RADICAL PROSTATECTOMY (LRP) Jeffry Mattar, Mubarak Dahamshy, Ami Sidi, and Alexander Tsivian Jeffry MattarJeffry Mattar , Mubarak DahamshyMubarak Dahamshy , Ami SidiAmi Sidi , and Alexander TsivianAlexander Tsivian View All Author Informationhttps://doi.org/10.1097/01.JU.0001008852.83523.41.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Efficient post-operative pain management has an important role in facilitating rapid patient's recovery. At our department, TAP block is routinely used for pain control following LRP. The objective of this study was to determine the effect of timing of TAP block and its influence on pain and analgesics consumed postoperatively. METHODS: Data of men who underwent extraperitoneal LRP and received bilateral TAP block at the beginning versus at the end of the surgery (Lidocaine 1% 10 mL and Marcaine 0.5% 10 mL on each side) were analyzed. Data compared included the pain using Visual Analogue Scale (VAS) and analgesics consumption. Data of patient who underwent intraperitoneal LRP or adjunctive surgery were excluded. RESULTS: A total of 60 patients were included, 30 received bilateral TAP block at the beginning of the operation, prior to the trocar incision (group 1), and 30 received bilateral TAP block after completion of the surgery and closure of surgical wounds (group 2). Pain intensity (average) on postoperative day (POD) 1, was lower in group 1 VAS-2.96 compared to group 2 VAS 4.2 (p=0.18). On POD2, VAS was 1.2 in group 1 and 2 in group 2 (p=0.9). Analgesics consumption (doses) on POD1 was 0.83 and 1 in groups 1 and 2, respectively (p=0.59). On POD2 the patients consumed 0.36 and 0.5 doses of analgesics in group 1 and 2, respectively (p=0.47). None of the patients required opioids for pain management. CONCLUSIONS: Bilateral TAP block at the beginning of surgery appears superior for pain control when compared to TAP block at the end of LRP. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e949 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Jeffry Mattar More articles by this author Mubarak Dahamshy More articles by this author Ami Sidi More articles by this author Alexander Tsivian More articles by this author Expand All Advertisement PDF downloadLoading ...