Comparison of the efficiency of ultrasound-guided ESPB and TAPB on postoperative analgesia: a system review and meta-analysis
BackgroundThis meta-analysis systematically evaluates the analgesic efficacy of two regional anesthesia techniques - transversus abdominis plane block (TAPB) and erector spinae plane block (ESPB) in abdominal surgical procedures.MethodsThis PRISMA-compliant meta-analysis systematically queried PubMe...
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Frontiers Media S.A.
2025-05-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1595778/full |
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| author | Lu Qian Nian-qiang Hu Qi-hong Shen Kai Ni |
| author_facet | Lu Qian Nian-qiang Hu Qi-hong Shen Kai Ni |
| author_sort | Lu Qian |
| collection | DOAJ |
| description | BackgroundThis meta-analysis systematically evaluates the analgesic efficacy of two regional anesthesia techniques - transversus abdominis plane block (TAPB) and erector spinae plane block (ESPB) in abdominal surgical procedures.MethodsThis PRISMA-compliant meta-analysis systematically queried PubMed, Embase, Web of science, and Cochrane library. Eligible studies were controlled clinical trials comparing ESPB and TAPB for postoperative analgesia, documenting pain scales, opioid use, and safety outcomes. Methodological rigor was evaluated per Cochrane criteria, with quantitative synthesis conducted via RevMan 5.4 using effect magnitudes (SMD/MD) and risk ratios (RR). Evidence certainty was graded using GRADE methodology.ResultPooled data from 21 RCTs (n = 1,293 patients) revealed better pain control during the 24-h postoperative period in the ESPB groups (2-h: MD = −0.68, 95% CI [−1.04, −0.32], p < 0.05). Also, postoperative opioid consumption was significantly reduced in the ESPB group (MD = −1.25; 95% CI [−1.66 to −0.85]; p < 0.05). No significant differences were observed in complication occurrence (RR = 1.13, 95% CI [0.75, 1.71], p > 0.05).ConclusionCurrent evidence indicates that ESPB demonstrates superior postoperative analgesic efficacy and reduced opioid requirements compared to TAPB, while maintaining comparable safety profiles.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD42021275992. |
| format | Article |
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| language | English |
| publishDate | 2025-05-01 |
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| spelling | doaj-art-7a02c2e860264fa098e17dbc1ef2757b2025-08-20T01:57:05ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-05-011210.3389/fmed.2025.15957781595778Comparison of the efficiency of ultrasound-guided ESPB and TAPB on postoperative analgesia: a system review and meta-analysisLu Qian0Nian-qiang Hu1Qi-hong Shen2Kai Ni3Department of Anesthesiology, Sir Run Run Shaw Hospital, Affiliated with the Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Anesthesiology, Sir Run Run Shaw Hospital, Affiliated with the Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Anesthesiology, Affiliated Hospital of Jiaxing University, Jiaxing, ChinaDepartment of Anesthesiology, Shulan (Hangzhou) Hospital, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, ChinaBackgroundThis meta-analysis systematically evaluates the analgesic efficacy of two regional anesthesia techniques - transversus abdominis plane block (TAPB) and erector spinae plane block (ESPB) in abdominal surgical procedures.MethodsThis PRISMA-compliant meta-analysis systematically queried PubMed, Embase, Web of science, and Cochrane library. Eligible studies were controlled clinical trials comparing ESPB and TAPB for postoperative analgesia, documenting pain scales, opioid use, and safety outcomes. Methodological rigor was evaluated per Cochrane criteria, with quantitative synthesis conducted via RevMan 5.4 using effect magnitudes (SMD/MD) and risk ratios (RR). Evidence certainty was graded using GRADE methodology.ResultPooled data from 21 RCTs (n = 1,293 patients) revealed better pain control during the 24-h postoperative period in the ESPB groups (2-h: MD = −0.68, 95% CI [−1.04, −0.32], p < 0.05). Also, postoperative opioid consumption was significantly reduced in the ESPB group (MD = −1.25; 95% CI [−1.66 to −0.85]; p < 0.05). No significant differences were observed in complication occurrence (RR = 1.13, 95% CI [0.75, 1.71], p > 0.05).ConclusionCurrent evidence indicates that ESPB demonstrates superior postoperative analgesic efficacy and reduced opioid requirements compared to TAPB, while maintaining comparable safety profiles.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD42021275992.https://www.frontiersin.org/articles/10.3389/fmed.2025.1595778/fulltransversus abdominis plane blockerector spinae plane blockmeta-analysisESPBTAPB |
| spellingShingle | Lu Qian Nian-qiang Hu Qi-hong Shen Kai Ni Comparison of the efficiency of ultrasound-guided ESPB and TAPB on postoperative analgesia: a system review and meta-analysis Frontiers in Medicine transversus abdominis plane block erector spinae plane block meta-analysis ESPB TAPB |
| title | Comparison of the efficiency of ultrasound-guided ESPB and TAPB on postoperative analgesia: a system review and meta-analysis |
| title_full | Comparison of the efficiency of ultrasound-guided ESPB and TAPB on postoperative analgesia: a system review and meta-analysis |
| title_fullStr | Comparison of the efficiency of ultrasound-guided ESPB and TAPB on postoperative analgesia: a system review and meta-analysis |
| title_full_unstemmed | Comparison of the efficiency of ultrasound-guided ESPB and TAPB on postoperative analgesia: a system review and meta-analysis |
| title_short | Comparison of the efficiency of ultrasound-guided ESPB and TAPB on postoperative analgesia: a system review and meta-analysis |
| title_sort | comparison of the efficiency of ultrasound guided espb and tapb on postoperative analgesia a system review and meta analysis |
| topic | transversus abdominis plane block erector spinae plane block meta-analysis ESPB TAPB |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1595778/full |
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