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Analgesia in Major Abdominal Surgery pp 177–192Cite as

Truncal Blocks: Transversus Abdominis Plane Blocks and Derivatives

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Abstract

Transversus abdominis plane (TAP) block, transversalis fascia plane (TFP) block and iliiohypogastric/ilioinguinal blocks are discussed. There are landmark-based and ultrasound-based insertion techniques described for each block with differences in efficacy and duration of effect. TAP approaches include subcostal oblique (anaesthesia above the umbilicus), mid-axillary (anaesthesia below the umbilicus), posterior (anaesthesia below the umbilicus) and the bilateral dual (complete abdominal wall anaesthesia). The TFP block provide anaesthesia of the L1 and L2 distribution and can provide analgesia for iliac crest bone grafting, open inguinal hernia repair and open appendicectomy. Iliohypogastric/ilioinguinal nerve blocks are primarily used for inguinal hernia repair surgery and can be landmark based as well as ultrasound guided.

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Author information

Authors and Affiliations

  1. Department of Anaesthesia, The Clinical Sciences Institute, National University of Ireland, Galway, Ireland

    Aisling McMahon & John G. McDonnell

  2. Department of Anaesthesia and Intensive Care Medicine, Galway University Hospitals, Galway, Ireland

    John G. McDonnell

  3. Department of Anesthesiology and Intensive Care Medicine, Zealand University Hospital, University of Copenhagen, Roskilde, Denmark

    Jens Børglum

Authors
  1. Aisling McMahon
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  2. John G. McDonnell
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  3. Jens Børglum
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Editor information

Editors and Affiliations

  1. Department of Anaesthetics and Critical Care, Royal Blackburn Hospital, Blackburn, Lancashire, UK

    Anton Krige

  2. Department of Anesthesiology and Critical Care, Virginia Commonwealth University Hospital, Richmond, VA, USA

    Michael J. P. Scott

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McMahon, A., McDonnell, J.G., Børglum, J. (2018). Truncal Blocks: Transversus Abdominis Plane Blocks and Derivatives. In: Krige, A., Scott, M. (eds) Analgesia in Major Abdominal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-94482-1_11

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  • DOI: https://doi.org/10.1007/978-3-319-94482-1_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-94480-7

  • Online ISBN: 978-3-319-94482-1

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