TAP Block Versus Local Anesthesia Wound Infiltration for Postoperative Pain Relief After Appendicectomy in Children

Summary

When performing laparoscopic appendectomy in children, regional anesthetic techniques are rou-tinely used concomitantly with general anesthesia. These techniques include local infiltration of the trocar wounds or transverse abdominal plane block (TAP block). In 2018, a position paper of the European Society of Pediatric Anaesthesiology advised for TAP block over local infiltration of the trocar wounds. However, there is no randomized study comparing both techniques in children. The aim of this study is to compare morphine consumption during the first 24 postoperative hours in children undergoing laparoscopic appendectomy and randomly allocated to either local infiltration of the trocar wounds or TAP block.

Timeline

Start

2021-07-30

Primary completion

2024-01-31

Completion

2024-01-31

Publications

• Bloy G, Jurine A, Pili-Floury S, Auber F, Hild O, Guinot PG, Bouhemad B, Francois M, Vettoretti L, Bronnert R, Nguyen M, Chaussy Y, Besch G. Clinical effectiveness of transversus abdominis plane block versus local anaesthesia wound infiltration for postoperative pain relief after laparoscopic appendicectomy in children: A multicentre, double-blind, randomised, controlled phase III trial. Eur J Anaesthesiol. 2026 Mar 4. doi: 10.1097/EJA.0000000000002367. Online ahead of print.

Drugs

Indications