GOSTGilfanova R. A., Afanasyeva Z. A. Transverse plane blockade with ropivacaine: optimization of analgesia in patients with colorectal cancer after surgery // Academic Research Journal. 2025. Vol. 3. No. 10. P. 173-178. DOI: 10.25726/d7316-9490-0207-d
APAGilfanova, R. A. & Afanasyeva, Z. A. (2025). Transverse plane blockade with ropivacaine: optimization of analgesia in patients with colorectal cancer after surgery. Academic Research Journal, 3(10), 173-178. https://doi.org/10.25726/d7316-9490-0207-d
Abstract
This literature review examines strategies for optimizing multimodal analgesia within the framework of protocols for accelerated recovery after surgery on the colon and rectum (Enhanced Recovery After Surgery, ERAS). The necessity of using a multimodal approach to achieve adequate postoperative anesthesia is substantiated, which, in turn, helps to reduce the incidence of complications, shorten the duration of hospitalization and improve the quality of life of patients. Special attention is paid to the role of ultrasound controlled abdominal transverse blockade (TAP blockade) as a component of multimodal analgesia, which reduces the need for opioid analgesics and accelerates the restoration of gastrointestinal tract functions. The article presents current data on the effectiveness and safety of TAP blockade in colorectal surgery, as well as prospects for the introduction and optimization of this method in clinical practice.
The authors did not declare any external funding for this research.
References
Andersson R.E. Laparoscopic vs open resection for colon cancer: a systematic review and meta-analysis // Surgical endoscopy. 2015. № 29(1). рр. 1-13.
Cox C.R. Ropivacaine: a review of its pharmacology and clinical use // Drugs 2003. № 63(1). рр. 75-101.
Dahl J.B., Rosenberg M.N. Postoperative pain and its treatment // British journal of anaesthesia. 1995. № 75(1). pp. 111-116.
Hebbard P. A novel ultrasound-guided transversus abdominis plane block // Regional anesthesia and pain medicine. 2007. № 32(5). рр. 1017-1018.
Kehlet H. Improved clinical outcome after laparoscopic surgery with multimodal analgesia // British journal of surgery. 2002. № 89(8). рр. 1070-1073.
McDonnell J.G. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a systematic review and meta-analysis // Anesthesia and Analgesia. 2009. № 108(3). рр. 186-199.
Perkins F.M., Kehlet G.J. Chronic pain as an outcome of surgery. A review of predictive factors // Anesthesiology. 2000. № 93(4). рр. 1123-1133.
Petersen P.L. Effect of intravenous lidocaine on pain and recovery after laparoscopic cholecystectomy: A randomized, double-blind, placebo-controlled trial // British journal of anaesthesia. 2013. № 111(5). рр. 687-694.