M-Tapa Block for Laparoscopic Inguinal Hernia Repair Surgery
Status:
Recruiting
Trial end date:
2022-05-30
Target enrollment:
Participant gender:
Summary
Modified Perichondral Approach Thoracoabdominal Nerve (M-TAPA) block is a novel block that
provides effective analgesia of the anterior and lateral thoracoabdominal walls during
laparoscopic surgery, in which local anesthetic is applied only to the lower side of the
perichondral surface. M-TAPA block is a good alternative for analgesia of the upper dermatome
levels and the abdominal lateral wall, and may be an opioid-sparing strategy with
satisfactory quality improvement in patients undergoing laparoscopic surgery.
M-TAPA block provides analgesia at the level of T5-T11 in the abdominal region. Sonoanatomy
is easy to visualize and the spread of local anesthetic can be easily seen. Analgesia occurs
in several dermatomes thanks to the cephalocaudal spread of the local anesthetic solution.
There are studies in the literature investigating the effectiveness of M-TAPA block for
post-operative pain management in several abdominal surgeries.