Lee Gimin, Moon Sanghyuk, Kim Nagyeong, Baek Daeun, Son Nak-Hoon, Seo Kyeong Hwan, Jung Eunyoung
Department of Surgery, Keimyung University School of Medicine, Daegu, Korea.
Department of Statistics, Keimyung University, Daegu, Korea.
Ann Surg Treat Res. 2025 Jan;108(1):57-63. doi: 10.4174/astr.2025.108.1.57. Epub 2025 Jan 7.
Transversus abdominis plane (TAP) block is a promising technique for postoperative pain control. In this study, we aimed to evaluate the efficacy of the TAP block in managing postoperative pain after laparoscopic totally extraperitoneal (TEP) inguinal hernia repair.
In this retrospective study, medical records of patients who had received ultrasonography-guided TAP blocks after surgery from January 2019 to August 2023 were reviewed and compared with those of patients who had not received. Propensity score matching was controlled for age as a confounder. Postoperative pain levels were measured using the numeric rating scale (NRS).
After matching, 95 patients were included in each group. The TAP block group (2.7 4.0, P < 0.001) had significantly lower NRS scores immediately and early postoperative pain than the control group (1.9 2.5, P < 0.001). However, there was no significant difference between the 2 groups in terms of postoperative complications (P > 0.05).
TAP block is effective and safe for managing immediate and early postoperative pain in laparoscopic TEP inguinal hernia repair and does not increase the risk of complications.
腹横肌平面（TAP）阻滞是一种很有前景的术后疼痛控制技术。在本研究中，我们旨在评估TAP阻滞在腹腔镜完全腹膜外（TEP）腹股沟疝修补术后疼痛管理中的疗效。
在这项回顾性研究中，对2019年1月至2023年8月手术后接受超声引导下TAP阻滞的患者的病历进行了回顾，并与未接受该阻滞的患者病历进行比较。将年龄作为混杂因素进行倾向评分匹配。使用数字评分量表（NRS）测量术后疼痛水平。
匹配后，每组纳入95例患者。TAP阻滞组术后即刻和早期疼痛的NRS评分（2.7±4.0，P<0.001）显著低于对照组（1.9±2.5，P<0.001）。然而，两组在术后并发症方面无显著差异（P>0.05）。
TAP阻滞在腹腔镜TEP腹股沟疝修补术中对术后即刻和早期疼痛的管理有效且安全，不会增加并发症风险。
