The study compared the effectiveness of laparoscopic (L-TAPB) and ultrasound-guided (U-TAPB) transversus abdominis plane block (TAPB) in postoperative pain management for patients undergoing colorectal surgery. Four randomized trials with 359 patients were included. The results showed that L-TAPB was non-inferior to U-TAPB, with no significant difference in opioid consumption at various timepoints post-surgery. There were also no significant differences in postoperative pain, nausea and vomiting, and length of hospital stay between the two delivery methods. Both L-TAPB and U-TAPB showed similar outcomes for multimodal analgesia in colorectal surgery.
Review by Iaquinandi F, Mongelli F (…) La Regina D et 5 al. in Surg Endosc
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