Ultrasound-guided vs Laparoscopic-asisted Transversus Abdominis Plane Block for Laparoscopic Cholecystectomy: A Randomized Prospective Study

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Sahap M., SEVİM M., gulec h., YALCIN A., BUT A.

Anestezi Dergisi, vol.31, no.1, pp.55-61, 2023 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.54875/jarss.2023.79106
  • Journal Name: Anestezi Dergisi
  • Journal Indexes: Scopus, Academic Search Premier, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.55-61
  • Ankara Yıldırım Beyazıt University Affiliated: Yes

Abstract

Objective: To compare the postoperative analgesic efficacy and side effects of ultrasound guided-Transversus Abdominis Plane block (USG-TAP) versus laparoscopic-guided Transversus Abdomi- nis Plane block (LAP-TAP) in patients undergoing laparoscopic cho- lecystectomy. Methods: This randomised, prospective, controlled study includ- ed 63 patients aged 18-65 years, classified as ASA I-III, and divided into three groups: Group USG-TAP (n=21) received postoperative TAP block under USG guidance, Group LAP-TAP (n=21) received postoperative laparoscopic-guided TAP block, and Group Con- trol (n=21) received no additional procedure. Visual Analog Scale (VAS) scores and tramadol consumption were used to evalute postoperative pain. Results: The changes in Visual Analog Scale (VAS) scores over time were statistically different in the groups (p=0.002). The change over time was similar in the USG and LAP groups (p=0.221), and the change in the control group was statistically different from that of the other two groups (p<0.05). Conclusion: The analgesic efficacy of USG-guided and laparoso- pic-guided TAP blocks was found to be similar.