A simple modification to the transversus abdominis plane block provides safe and effective analgesia in TRAM/DIEP flap patients.
West
Chris
C
Department of Plastic and Reconstructive Surgery; St. John's Hospital; Livingston, West Lothian (West) Department of Plastic and Reconstructive Surgery; Leicester Royal Infirmary; Leicester, United Kingdom (Milner).
Milner
Chris S
CS
D000698:Analgesia / Q000379:methods*; D019074:Epigastric Arteries; D006801:Humans; D016462:Mammaplasty; D009407:Nerve Block / Q000379:methods*; D017568:Rectus Abdominis; D013524:Surgical Flaps / Q000098:blood supply
Rozen WM, Tran TM, Ashton MW, Barrington MJ, Ivanusic JJ, Taylor GI. Refining the course of the thoracolumbar nerves: A new understanding of the innervation of the anterior abdominal wall. Clin Anat. 2008;21:325–333.
Rafi AN. Abdominal field block: A new approach via the lumbar triangle. Anaesthesia. 2001;56:1024–1026.
McDonnell JG, Curley G, Carney J, et al. The analgesic efficacy of transversus abdominis plane block after cesarean delivery: A randomized controlled trial. Anesth Analg. 2008;106:186–191.
Hebbard P, Fujiwara Y, Shibata Y, Royse C. Ultrasound-guided transversus abdominis plane (TAP) block. Anaesth Intensive Care. 2007;35:616–617.
Correll DJ, Viscusi ER, Grunwald Z, Moore JH Jr. Epidural analgesia compared with intravenous morphine patient-controlled analgesia: Postoperative outcome measures after mastectomy with immediate TRAM flap breast reconstruction. Reg Anesth Pain Med. 2001;26:444–449.