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Journal of surgical case reports
Apr, 2021;2021 (4): rjab123.

Transversus abdominis plane block for lumboperitoneal shunt surgery in idiopathic normal pressure hydrocephalus: a case report.

Jinduck Cho, Jinseok Yeo, Sung Hyun Chang, Sang-Youl Yoon, Seong-Hyun Park, Kyunghun Kang, Chi-Hun Kim, Myong Hun Hahm, Eunhee Park, Ki-Su Park
Author Information
  1. Jinduck Cho: Department of Anesthesia and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  2. Jinseok Yeo: Department of Anesthesia and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  3. Sung Hyun Chang: Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  4. Sang-Youl Yoon: Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  5. Seong-Hyun Park: Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  6. Kyunghun Kang: Department of Neurology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  7. Chi-Hun Kim: Department of Neurology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  8. Myong Hun Hahm: Department of Radiology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  9. Eunhee Park: Department of Physical and Rehabilitation Medicine, Kyungpook National University Medical Center, Daegu, Republic of Korea.
  10. Ki-Su Park: Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
PMID: 33927861 DOI: 10.1093/jscr/rjab123

Abstract

The transversus abdominis plane (TAP) block is an ideal pain control method used in surgeries that require abdominal wall incisions through the injection of an anesthetic solution into the plane between the internal oblique muscle and transversus abdominis muscle. Herein, we report an 83-year-old man who was diagnosed with idiopathic normal pressure hydrocephalus (iNPH) and underwent lumboperitoneal shunt surgery (LPS). The TAP block was performed before LPS, and the numerical rating scale for pain was 0 at day 1 after the surgery. The patient was discharged early at day 3 after surgery despite the patient being extremely old, as he reported quick relief from the postoperative abdominal pain. The TAP block can hence be considered for use before LPS in elderly patients with iNPH.

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Case Reports Journal Article

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