Regional anesthesia

Transversus abdominis plane block for postoperative pain management and opioid sparing: a systematic review and meta-analysis of randomised controlled trials

Br J AnaesthPublished Systematic review and meta-analysis of randomised controlled trials

Authors' conclusion

The TAP block is an effective anaesthetic modality for pain management and opioid sparing after abdominal surgery.

Study context

Population
Patients undergoing abdominal surgery in RCTs of transversus abdominis plane (TAP) block123 RCTs
Comparison
TAP block vs placebo, local infiltration, epidural analgesia or intrathecal morphine
Outcome
6-, 12- and 24-h postoperative pain scores and cumulative 24-h postoperative morphine consumption
Methodological detailsMEDLINE, Embase and Cochrane CENTRAL searched from inception to May 2024
  • MEDLINE, Embase and Cochrane CENTRAL searched from inception to May 2024

Pooled result

As reported in the abstract

TAP block vs Local infiltrationSMD (95% CI)P value
6-h pain
−0.89(−1.35 to −0.43)
P < 0.001
12-h pain
−1.27(−2.08 to −0.46)
P = 0.002
24-h pain
−0.66(−1.01 to −0.32)
P < 0.001
Cumulative 24-h morphine consumption
−0.99(−1.52 to −0.47)
P < 0.001

Original publication

Transversus abdominis plane block for postoperative pain management and opioid sparing: a systematic review and meta-analysis of randomised controlled trials. Br J Anaesth. Published 2 December 2025. doi:10.1016/j.bja.2025.10.033

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.