BILATERAL TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK FOR TREATMENT OF CHRONIC ABDOMINAL WALL PAIN: A CASE REPORT

TAP block for treatment of chronic pain

Authors

  • Marija Toleska University Clinic for TOARILUC, Department of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia https://orcid.org/0000-0001-8102-7237
  • Aleksandar Dimitrovski University Clinic for TOARILUC, Department of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia https://orcid.org/0000-0002-9672-6994
  • Biljana Kuzmanovska University Clinic for TOARILUC, Department of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Andrijan Kartalov University Clinic for TOARILUC, Department of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Biljana Kiprijanovska University Clinic for TOARILUC, Department of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Natasha Toleska Dimitrovska University Clinical Center “Mother Teresa” Skopje, University Clinic for Thoracic and Vascular Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of Macedonia https://orcid.org/0000-0001-9146-2128

Keywords:

TAP bloch, chronic pain, abdominal wall

Abstract

Transversus abdominis plane (TAP) block is a regional anesthesia technique where the local anesthetic is injected into the interfascial plane between the internal oblique and transversus abdominis muscle. This block is mainly used for treatment of acute pain following abdominal surgery. Persistent postsurgical pain (PPSP) or chronic postsurgical pain (CPSP) is pain that persists at least three months after surgery, which was not present before surgery, or which had different characteristics or increased intensity from preoperative pain. It is localized near the surgical site or a referred area, and other possible causes for the pain had been excluded (cancer recurrence or infection). This pain can lead to functional limitation and psychological trauma in patients. By presenting our case report we would like to describe the effect of TAP block on CPSP in a female patient who had previously undergone many abdominal surgeries.

References

Pisharoty AP. The TAP block: Rapidly evolving from managing acute post-op pain to treating chronic abdominal pain. PAIN MEDICINE NEWS interventional 2018; 4: 1-8. https://www.painmedicinenews.com/Interventional/Article/04-18/The-TAP-Block-Rapidly-Evolving-From-Managing-Acute-Post-Op-Pain-to-Treating-Chronic-Abdominal-Pain/48422?sub=DAA99158319816C26F486663C11843C20BB3A8B AA2C491CAC0A4F52B50945&enl=true.

Werner MU, Kongsgaard UE. I. Defining persistent post-surgical pain: is an update required? Br J Anaesth 2014; 113(1): 1-4. doi: 10.1093/bja/aeu012.

Thapa P, Euasobhon P. Chronic postsurgical pain: current evidence for prevention and management. Korean J Pain 2018; 31(3): 155-173. doi: 10.3344/kjp.2018.31.3.155.

Fisher M, Guirguis M, Abd-Elsayed A. Review of Transversus Abdominis Plane Blocks and their application to chronic abdominal pain. ASRA Pain Medicine Newsletter 2019. www.asra.com/news-publications/asra-newsletter/newsletter-item/asra- news/2019/08/07/review-of-transversus-abdominis-plane-blocks-and-their-application-to-chronic-abdominal-pain.

Toleska M, Naumovski F, Dimitrovski A, Trposka A, Nedelkova I, Lleshi A. Unilateral erector spinae plane block combined with multimodal analgesia for treatment of chronic pain after open inguinal hernia repair: a case report. European Journal of Anaesthesiology 2020; 37(58): 110.

Baciarello M, Migliavacca G, Marchesini M, Valente A, Allegri M, Fanelli G. Transversus abdominis plane block for the diagnosis and treatment of chronic abdominal wall pain following surgery: a case series. Pain Pract 2018; 18(1): 109-117. doi: 10.1111/papr.12570.

Abd-Elsayed A, Luo S, Falls C. Transversus abdominis plane block as a treatment modality for chronic abdominal pain. Pain Physician 2020; 23(4): 405-412. PMID: 32709175.

Downloads

Published

2022-12-20

Issue

Section

Case Reports