Transversus abdominis plane block in postoperative analgesia of autologous breast reconstruction
Abstract：Objective To explore the application of postoperative multimodal analgesia of transversus abdominis plane block in breast reconstruction using the muscle-sparing transversus abdominus myocutaneous flaps.Meth-ods This study is a retrospective analysis designed to test the effectiveness of a transversus abdominis plane catheter delivering intermittent local anesthetic and patient controlled intravenous analgesia in reducing postoperative ab-dominal pain following abdominal tissue breast reconstruction.The objective of this study is to compare the mean total opioid consumption,visual analogue score and the incidence of postoperative analgesia related complications in the first postoperative 48 hours between the two groups.Results The analgesic effect of two groups is almost the same,but the total opioid consumption and incidence of postoperative analgesia related complications of transversus abdominis plane group is lower than patient controlled intravenous analgesia group.Conclusion The postoperative analgesia of breast reconstruction using the muscle-sparing transversus abdominus myocutaneous flaps by trans-versus abdominis plane catheter could provide the same analgesic effect to traditional postoperative analgesia meth-ods.It can provide some advantage which traditional postoperative analgesia can′t,and can be applied in the clinical work.
Keywords：Postoperative analgesiaBreast reconstructionTransversus abdominis plane block
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 689-690,691 )