V10-09 SURGEON ADMINISTERED LAPAROSCOPIC GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK FOLLOWING ROBOT-ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyCME1 Apr 2023V10-09 SURGEON ADMINISTERED LAPAROSCOPIC GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK FOLLOWING ROBOT-ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY Pushan Prabhakar, Hariharan Ganapathi, Ahmed Eldefrawy, Jorge Caso, and Murugesan Manoharan Pushan PrabhakarPushan Prabhakar More articles by this author , Hariharan GanapathiHariharan Ganapathi More articles by this author , Ahmed EldefrawyAhmed Eldefrawy More articles by this author , Jorge CasoJorge Caso More articles by this author , and Murugesan ManoharanMurugesan Manoharan More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003328.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To describe the technique of a surgeon-administered laparoscopic guided transversus abdominis plane block and evaluate the safety and efficacy of the block in patients underwent robot-assisted laparoscopic prostatectomy (RALP). METHODS: A consecutive series of patients who underwent RALP were administered laparoscopic guided transversus abdominis plane block by the surgeon. A validated numeric pain rating scale was used to record their pain during their postoperative hospital stay. Also, the morphine milligram equivalents (MME) for pain medications were calculated. RESULTS: A total of 61 patients were included in the analysis, 57 patients were discharged within 24 hours and 4 patients were discharged the following day. The mean pain score prior to discharge (24 hr) was 3.64 ± 1.81 (range 1-8). The MME for postoperative day 1 was 13.7 ± 11.03 (range 0-49) and 10.91 ± 8.77 (range 0-25) for postoperative day 2. There were no block related complications. CONCLUSIONS: The surgeon administered laparoscopic TAP block is a safe pain management tool. Studies compared laparoscopic guided TAP block with ultrasound-guided TAP block and reported no discernible differences in the efficacy of pain management following general surgical procedures. Direct visualization of the administration site minimizes complications such as iatrogenic visceral injury by the needle or administration of the local anesthetic in the wrong plane. In addition, the surgeon-administered block also potentially reduces the additional time taken to set up an ultrasound guided TAP block which requires an anesthesiologist and an ultrasound machine. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e928 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Pushan Prabhakar More articles by this author Hariharan Ganapathi More articles by this author Ahmed Eldefrawy More articles by this author Jorge Caso More articles by this author Murugesan Manoharan More articles by this author Expand All Advertisement PDF downloadLoading ...