The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysis
Background: Controversy still exists regarding the analgesic efficacy of transverse abdominis plane (TAP) block versus ilioinguinal or iliohypogastric (IL/IH) nerve block for postoperative pain management following cesarean section. This meta-analysis aimed to perform relatively credible pooled resu...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-08-01
|
| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844021018776 |
| _version_ | 1818583543083696128 |
|---|---|
| author | Tikuneh Yetneberk Basazinew Chekol Diriba Teshome |
| author_facet | Tikuneh Yetneberk Basazinew Chekol Diriba Teshome |
| author_sort | Tikuneh Yetneberk |
| collection | DOAJ |
| description | Background: Controversy still exists regarding the analgesic efficacy of transverse abdominis plane (TAP) block versus ilioinguinal or iliohypogastric (IL/IH) nerve block for postoperative pain management following cesarean section. This meta-analysis aimed to perform relatively credible pooled results on the efficacy of the TAP versus IL/IH nerve block for postoperative pain management after cesarean section. Methods: Databases such as: PubMed/MEDLINE, Google scholar, and google were systematically searched. studies compared the analgesic efficacy of TAP versus IL/IH nerve block for postoperative pain management following cesarean section were included. Data were extracted by three reviewers independently by using Microsoft Excel and then exported to STATA™ 16 version statistical software for analysis. We used a random-effects model meta-analysis and the mean difference of analgesic efficacy with a 95 % confidence interval was reported based on Preferred Reporting Items for systematic reviews and meta-analysis (PRISMA). Results: Five studies with a total of 390 (196 in TAP and 194 in IL/IH) study participants were included in this meta-analysis. No statistically significant difference was observed between the TAP and IL/IH groups in time to first rescue analgesic request, total postoperative analgesic consumption in milligrams of intravenous tramadol equivalence, and post pain severity score at different points of time both rest and movement. Conclusion: This meta-analysis revealed that both approaches have similar postoperative analgesic efficacy following cesarean section. we recommend that the clinician may consider either approach for post-cesarean section pain management. |
| first_indexed | 2024-12-16T08:06:57Z |
| format | Article |
| id | doaj.art-a9eee199c77246199d1106709d3c5e5b |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-12-16T08:06:57Z |
| publishDate | 2021-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-a9eee199c77246199d1106709d3c5e5b2022-12-21T22:38:26ZengElsevierHeliyon2405-84402021-08-0178e07774The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysisTikuneh Yetneberk0Basazinew Chekol1Diriba Teshome2Corresponding author.; Department of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaBackground: Controversy still exists regarding the analgesic efficacy of transverse abdominis plane (TAP) block versus ilioinguinal or iliohypogastric (IL/IH) nerve block for postoperative pain management following cesarean section. This meta-analysis aimed to perform relatively credible pooled results on the efficacy of the TAP versus IL/IH nerve block for postoperative pain management after cesarean section. Methods: Databases such as: PubMed/MEDLINE, Google scholar, and google were systematically searched. studies compared the analgesic efficacy of TAP versus IL/IH nerve block for postoperative pain management following cesarean section were included. Data were extracted by three reviewers independently by using Microsoft Excel and then exported to STATA™ 16 version statistical software for analysis. We used a random-effects model meta-analysis and the mean difference of analgesic efficacy with a 95 % confidence interval was reported based on Preferred Reporting Items for systematic reviews and meta-analysis (PRISMA). Results: Five studies with a total of 390 (196 in TAP and 194 in IL/IH) study participants were included in this meta-analysis. No statistically significant difference was observed between the TAP and IL/IH groups in time to first rescue analgesic request, total postoperative analgesic consumption in milligrams of intravenous tramadol equivalence, and post pain severity score at different points of time both rest and movement. Conclusion: This meta-analysis revealed that both approaches have similar postoperative analgesic efficacy following cesarean section. we recommend that the clinician may consider either approach for post-cesarean section pain management.http://www.sciencedirect.com/science/article/pii/S2405844021018776Meta-analysisCesarean sectionTAP blockIL/IH block |
| spellingShingle | Tikuneh Yetneberk Basazinew Chekol Diriba Teshome The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysis Heliyon Meta-analysis Cesarean section TAP block IL/IH block |
| title | The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysis |
| title_full | The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysis |
| title_fullStr | The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysis |
| title_full_unstemmed | The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysis |
| title_short | The efficacy of TAP block versus ilioinguinal block for post-cesarean section pain management: A systematic review and meta-analysis |
| title_sort | efficacy of tap block versus ilioinguinal block for post cesarean section pain management a systematic review and meta analysis |
| topic | Meta-analysis Cesarean section TAP block IL/IH block |
| url | http://www.sciencedirect.com/science/article/pii/S2405844021018776 |
| work_keys_str_mv | AT tikunehyetneberk theefficacyoftapblockversusilioinguinalblockforpostcesareansectionpainmanagementasystematicreviewandmetaanalysis AT basazinewchekol theefficacyoftapblockversusilioinguinalblockforpostcesareansectionpainmanagementasystematicreviewandmetaanalysis AT diribateshome theefficacyoftapblockversusilioinguinalblockforpostcesareansectionpainmanagementasystematicreviewandmetaanalysis AT tikunehyetneberk efficacyoftapblockversusilioinguinalblockforpostcesareansectionpainmanagementasystematicreviewandmetaanalysis AT basazinewchekol efficacyoftapblockversusilioinguinalblockforpostcesareansectionpainmanagementasystematicreviewandmetaanalysis AT diribateshome efficacyoftapblockversusilioinguinalblockforpostcesareansectionpainmanagementasystematicreviewandmetaanalysis |