ArticleJournal of anesthesia2024
The key to success in blocking lateral cutaneous branches with re-modified thoracoabdominal nerves block through perichondrial approach: a newly discovered space between the endothoracic fascia, diaphragm, and costodiaphragmatic recess.
Article in Journal of anesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
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Who cites it
9 citing papers in PubMed.
- Thoracoabdominal nerves block through the perichondrial approach: a narrative review.Korean journal of anesthesiology · 2026Review
- Wide dermatomal coverage after combined block targeting the space between the endothoracic fascia, diaphragm, and costodiaphragmatic recess and the posterior transversus abdominis plane in gynecologic laparoscopy: a case series.Journal of anesthesia · 2026Article
- Beyond "re-modified TAPA": advocating for the SEDIC block to standardize nomenclature.Journal of anesthesia · 2026Article
- Ultrasound identification of absent rectus abdominis muscle after omphalocele repair altered regional anesthesia strategy in pediatric cardiac surgery: a case report.JA clinical reports · 2026Article
- Re-modified thoracoabdominal nerves block through the perichondrial approach at the 9th intercostal space provides analgesia in the upper abdomen: a volunteer study.Journal of anesthesia · 2026Article
- Continuous Re-MTAPA Block via SEDIC Catheter Placement: A Novel Analgesia Technique in Two Complex Surgical Cases.Cureus · 2025Article
- A Comparison of Two Fascial Plane Blocks for Abdominal Analgesia in Laparoscopic Cholecystectomy Surgery (M-TAPA vs. External Oblique Intercostal Plane Block): A Prospective Randomized Study.Journal of clinical medicine · 2025Article
- Ultrasound-guided modified thoracoabdominal nerve block for postoperative analgesia in laparoscopic renal cyst decompression: a randomized double-blind controlled trial.Frontiers in medicine · 2025Article
- Modified thoracoabdominal nerves block through perichondrial approach for surgical patients: a scoping review.BMC anesthesiology · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to determine whether the administration of a modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) could result in the blockade of the lateral cutaneous branches. This study focused on a newly discovered anatomical space/plane adjacent to the M-TAPA plane, which we termed "space between the endothoracic fascia, diaphragm, and costodiaphragmatic recess: SEDIC."
methodsThirteen sides of nine formalin-embalmed cadavers were macroscopically dissected to investigate the anatomical spaces related to the effects of M-TAPA. Furthermore, ten adult volunteers were administered 20 mL of 0.2% ropivacaine into the abdominal plane (corresponding to the M-TAPA plane) and the SEDIC, and a pinprick test was performed 1 h after the injection.
resultsCadaver macrodissection revealed the presence of the SEDIC adjacent to the M-TAPA plane. The SEDIC was completely spatially isolated from the M-TAPA plane by the presence of costal cartilage and/or tendinous structures. In the volunteer study, the administration of local anesthetics into the SEDIC effectively blocked the lateral cutaneous branches of T8-T12, in addition to the anterior branches.
conclusionOur study revealed the presence of the SEDIC adjacent to the M-TAPA plane. Administration of local anesthetics into the SEDIC, named re-modified TAPA, may have the potential to enhance the analgesic effect in the abdominal region.
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Registered trials
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