Subcutaneous injection of local anesthetic at port site versus bilateral sonar guided TAP block for pain control after laparoscopic cholecystectomy.

Document Type : Original Article

Authors

1 Anesthesiology and intensive care Department, Faculty of Medicine, Minia University.

2 Assistant professor of anesthesia and intensive care, Minia university hospital, Minia University

3 Lecturer of Anesthesiology and intensive care Department, Faculty of Medicine, Minia University, Egypt.

Abstract

Background: One well-known technique for postoperative analgesia in laparoscopic abdominal surgery is the transversus abdominal plane (TAP) block. TAP block is risk-free; it lessens or does away with the requirement for analgesics and has less adverse effects, like postoperative vomiting and nausea. Objectives: Examining the relative merits of TAP block and LA infiltration for the alleviation of postoperative pain following laparoscopic cholecystectomy. Study design: Eighty adults will participate in the prospective, randomized, double-blind controlled trial. Method: This study involved 80 patients who are undergoing general anesthesia for elective laparoscopic cholecystectomy; the patient will be allocated into 2 groups (40 patients in each group). Group A: Transverse abdominis plane (TAP) block. Group B: Port sites local infiltration. Results: There is significant decrease in 24-hour fentanyl consumption in group A than group B. Also, there is significant difference in rescue analgesia as it more in group B than group A. Conclusion: Tap block was more effective in pain management postoperative in laparoscopic cholecystectomy.

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