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Войти в исследования American journal of surgery · 2026
To block or not to block: A propensity score matched analysis of TAP blocks in ventral hernia repairs.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Goto Dylan S, Satija Divyaam, Renshaw Savannah, Rohde Stefanie C, Head William T, Kalsotra Sidhant, Poulose Benjamin
Аннотация
BACKGROUND: Transversus abdominis plane (TAP) blocks reduce opioid use and improve pain control. We aimed to assess whether this improves pain control and early post-operative complications after ventral hernia repair (VHR).
METHODS: We performed a retrospective study using the Abdominal Core Health Quality Collaborative (2014- 2023) comparing patients with TAP blocks. Primary outcomes included length of stay (LOS) and post-operative pain at 1-, 3-, 6-, and 12 months. Secondary outcomes included 30-day rates of ileus, deep venous thrombosis, pneumonia, and intubations.
RESULTS: Among 21,608 patients, 1688 (7.8%) received a TAP block. After matching, TAP block use was associated with a higher rate of "no pain" at 6 months; however, there were no other significant differences in the primary or secondary outcomes, including binary pain scores at any follow-up interval.
CONCLUSION: TAP blocks may have some benefit in post-operative pain control for patients with ventral hernias, however further studies are needed.
METHODS: We performed a retrospective study using the Abdominal Core Health Quality Collaborative (2014- 2023) comparing patients with TAP blocks. Primary outcomes included length of stay (LOS) and post-operative pain at 1-, 3-, 6-, and 12 months. Secondary outcomes included 30-day rates of ileus, deep venous thrombosis, pneumonia, and intubations.
RESULTS: Among 21,608 patients, 1688 (7.8%) received a TAP block. After matching, TAP block use was associated with a higher rate of "no pain" at 6 months; however, there were no other significant differences in the primary or secondary outcomes, including binary pain scores at any follow-up interval.
CONCLUSION: TAP blocks may have some benefit in post-operative pain control for patients with ventral hernias, however further studies are needed.