Efficacy of transversus abdominis plane block for gastric surgery: a meta-analysis
Abstract Background Multimodal analgesia is an important component of Enhanced Recovery After Surgery (ERAS). Transversus abdominis plane (TAP) block helps achieve this pain management in various types of surgeries. To evaluate the efficacy of TAP block versus non-TAP approaches for postoperative pa...
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2025-05-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-025-03097-9 |
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| author | Hao Zhang Hong Pan Xiaodong Chen |
| author_facet | Hao Zhang Hong Pan Xiaodong Chen |
| author_sort | Hao Zhang |
| collection | DOAJ |
| description | Abstract Background Multimodal analgesia is an important component of Enhanced Recovery After Surgery (ERAS). Transversus abdominis plane (TAP) block helps achieve this pain management in various types of surgeries. To evaluate the efficacy of TAP block versus non-TAP approaches for postoperative pain management and recovery after gastric surgery. Methods A systematic literature search across four databases (Cochrane, Embase, Web of Science, PubMed) until February 2024 identified relevant randomized controlled trials (RCTs) evaluating TAP block in gastric surgery. Two independent reviewers screened studies, extracted data, and assessed analyses. Primary outcome: postoperative pain scores. Secondary outcomes: postoperative opioid consumption, hospital stay, time to ambulation, and time to flatus. Results Twelve RCTs involving 841 participants were included. Compared to non-TAP, the TAP group demonstrated significantly lower visual analog scale (VAS) pain scores at 1, 3, 6, 12, 24, and 48 h postoperatively (WMD range: -0.62 to -0.97). Time to first ambulation (SMD − 0.46; 95% CI: -0.92, 0.00) and first flatus (WMD − 5.17; 95% CI: -8.58, -1.77) were shorter in the TAP group. Postoperative opioid consumption was reduced with TAP (WMD − 1.89; 95% CI: -2.41, -1.37), with no difference in hospital stay between groups. Conclusion TAP block effectively relieves pain after gastric surgery, decreases postoperative morphine requirements, and modestly shortens bed rest duration while promoting intestinal function recovery. However, it does not significantly affect the overall hospital length of stay. |
| format | Article |
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| institution | DOAJ |
| issn | 1471-2253 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | BMC Anesthesiology |
| spelling | doaj-art-2e19831ea9fb489188032e9b7c536cd52025-08-20T02:55:29ZengBMCBMC Anesthesiology1471-22532025-05-0125111010.1186/s12871-025-03097-9Efficacy of transversus abdominis plane block for gastric surgery: a meta-analysisHao Zhang0Hong Pan1Xiaodong Chen2Department of general surgery, Chongqing Western HospitalDepartment of general surgery, Chongqing Western HospitalDepartment of general surgery, Chongqing Western HospitalAbstract Background Multimodal analgesia is an important component of Enhanced Recovery After Surgery (ERAS). Transversus abdominis plane (TAP) block helps achieve this pain management in various types of surgeries. To evaluate the efficacy of TAP block versus non-TAP approaches for postoperative pain management and recovery after gastric surgery. Methods A systematic literature search across four databases (Cochrane, Embase, Web of Science, PubMed) until February 2024 identified relevant randomized controlled trials (RCTs) evaluating TAP block in gastric surgery. Two independent reviewers screened studies, extracted data, and assessed analyses. Primary outcome: postoperative pain scores. Secondary outcomes: postoperative opioid consumption, hospital stay, time to ambulation, and time to flatus. Results Twelve RCTs involving 841 participants were included. Compared to non-TAP, the TAP group demonstrated significantly lower visual analog scale (VAS) pain scores at 1, 3, 6, 12, 24, and 48 h postoperatively (WMD range: -0.62 to -0.97). Time to first ambulation (SMD − 0.46; 95% CI: -0.92, 0.00) and first flatus (WMD − 5.17; 95% CI: -8.58, -1.77) were shorter in the TAP group. Postoperative opioid consumption was reduced with TAP (WMD − 1.89; 95% CI: -2.41, -1.37), with no difference in hospital stay between groups. Conclusion TAP block effectively relieves pain after gastric surgery, decreases postoperative morphine requirements, and modestly shortens bed rest duration while promoting intestinal function recovery. However, it does not significantly affect the overall hospital length of stay.https://doi.org/10.1186/s12871-025-03097-9Transversus abdominis plane (TAP) blockGastric surgeryPostoperative pain scoresOpioid consumptionAmbulation |
| spellingShingle | Hao Zhang Hong Pan Xiaodong Chen Efficacy of transversus abdominis plane block for gastric surgery: a meta-analysis BMC Anesthesiology Transversus abdominis plane (TAP) block Gastric surgery Postoperative pain scores Opioid consumption Ambulation |
| title | Efficacy of transversus abdominis plane block for gastric surgery: a meta-analysis |
| title_full | Efficacy of transversus abdominis plane block for gastric surgery: a meta-analysis |
| title_fullStr | Efficacy of transversus abdominis plane block for gastric surgery: a meta-analysis |
| title_full_unstemmed | Efficacy of transversus abdominis plane block for gastric surgery: a meta-analysis |
| title_short | Efficacy of transversus abdominis plane block for gastric surgery: a meta-analysis |
| title_sort | efficacy of transversus abdominis plane block for gastric surgery a meta analysis |
| topic | Transversus abdominis plane (TAP) block Gastric surgery Postoperative pain scores Opioid consumption Ambulation |
| url | https://doi.org/10.1186/s12871-025-03097-9 |
| work_keys_str_mv | AT haozhang efficacyoftransversusabdominisplaneblockforgastricsurgeryametaanalysis AT hongpan efficacyoftransversusabdominisplaneblockforgastricsurgeryametaanalysis AT xiaodongchen efficacyoftransversusabdominisplaneblockforgastricsurgeryametaanalysis |