TRANSVERSE ABDOMINAL PLANE – ANATOMICAL AND CLINICAL ASPECTS

Kamil Starczewski, Angelika Ziętek-Czeszak, Marek Kamiński, Zbigniew Ziętek

Abstract


In medicine spectacular progress can be observed at many stages, which sometimes requires the redefinition of already known anatomical structures. One of them is the transverse abdominal plane, which was the focus of anaesthetists. It was observed that anaesthetics introduced locally into this plane have similar power to a traditional epidural procedure or spinal anaesthesia. The concept of the transverse abdominal plane is a relatively new anatomical term which was introduced into clinical medicine by anaesthetists. Because of the potential performance of anaesthetic procedures through access to the transverse abdominal plane, there has been a growing interest not only expressed by anaesthetists, but also anatomists who wish to explore new anatomical aspects of this plane. It is generally believed that anatomical studies will provide more information on this plane, which can contribute to a wider spread of this procedure among anaesthetists.


Keywords


transverse abdominal plane; lumbartriangle; analgesia

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References


Rafi A.N.: Abdominal field block: A new approach via the lumbar triangle. Anaesthesia. 2001, 56, 1024–1026.

Young M.J., Gorlin A.W., Modest V.E., Quraishi S.A.: Clinical implications of the transversus abdominis plane block in adults. Anesthesiol Res Pract. 2012, doi:10.1155/2012/731645.

Klaassen Z., Marshall E., Tubbs R.S., Louis R.G. Jr., Wartmann C.T., Loukas M.: Anatomy of the ilioinguinal and iliohypogastric nerves with observations of their spinal nerve contributions. Clin Anat. 2011, 24, 454–461.

Rozen W.M., Tran T.M., Ashton M.W., Barrington M.J., Ivanusic J.J., Taylor G.I.: Refining the course of the thoracolumbar nerves: a new understanding of the innervation of the anterior abdominal wall. Clin Anat. 2008, 21 (4), 325–333.

Tran T.M., Ivanusic J.J., Hebbard P., Barrington M.J.: Determination of spread of injectate after ultrasound- guided transversus abdominis plane block: a cadaveric study. Br J Anaesth. 2009, 102, 123–127.

Jankovic Z.B., du Feu F.M., McConnell P.: An anatomical study of the transversus abdominis plane block: location of the lumbar triangle of Petit and adjacent nerves. Anesth Analg. 2009, 109, 981–985.

Parkih B.K., Waghmare V.T., Shah V.R., Mehta T., Butala B.P., Parkih G.P. et al.: The analgesic efficacy of ultrasound¬ guided transversus abdominis plane block for retroperitoneoscopic donor nephrectomy: A randomized controlled study. Saudi J Anaesth. 2013, 7, 43–47.

Jankovic Z., Ahmad N., Ravishankar N., Archer F.: Transversus abdominis plane block: How safe is it? Anaesth Analg. 2008, 107, 1758–1759.

Hebbard P., Fujiwara Y., Shibata Y., Royse C.: Ultrasound¬ guided transversus abdominis plane (TAP) block. Anaesth Intensive Care. 2007, 35, 616–617.

Hebbard P.: Subcostal transversus abdominis plane block under ultrasound guidance. Anesth Analg. 2008, 106, 674–675.

McDonnell J.G., O’Donnell B.D., Curley G., Heffernan A., Power C., Laffey J.G.: The analgesic efficacy of transversus abdominis plane block after caesarean delivery: A randomized controlled trial. Anesth Analg. 2008, 106, 186–119.

Carney J., McDonnell J.G., Ochana A., Bhinder R., Laffey J.G.: The transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy. Anesth Analg. 2008, 107, 2056–2060.

McDonnell J.G., O’Donnell B.D., Curley G., Heffernan A., Power C., Laffey J.G.: The analgesic efficacy of TAP block after abdominal surgery: A prospective randomized controlled trial. Anesth Analg. 2007, 104, 193–197.

Jankovic Z.: Transversus abdominis plane block: The holy grail of anaesthesia for (lower) abdominal surgery. Periodicum Biologorum. 2009, 111, 203–208.

Rafi A.N.: Abdominal field block via the lumbar triangle revisited. Anaesthesia. 2012, 67, 1399–1401.

O’Donnell B.D., McDonnell J.G., McShane A.J.: Letter to the Editor. The transversus abdominis plane (TAP) block in open retropubic prostatectomy. Reg Anesth Pain Med. 2006, 31, 91.

Mukhtar K., Khattak I.: Transversus abdominis plane block for laparoscopic surgery. Br J Anaesth. 2009, 102, 143–144.

French J.L., McCullough J., Bachra P., Bedforth N.M.: Transversus abdominis plane block for analgesia after Caesarean section in a patient with an intracranial lesion. Int J Obstet Anesth. 2009, 8, 52–54.




DOI: https://doi.org/10.21164/pomjlifesci.5

Copyright (c) 2016 Kamil Starczewski, Angelika Ziętek-Czeszak, Marek Kamiński, Zbigniew Ziętek

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/