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363596

Comparison between the Analgesic Effect of Oblique Subcostal and Lateral Approach of Ultrasound-Guided Transverse Abdominis Blocks for Patients Undergoing Laparoscopic Cholecyste

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Last updated: 03 Jan 2025

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Abstract

Background: It is widely recognized that the primary benefits of minimally invasive surgery are reduced postoperative discomfort and faster recovery time for physical activities. Objectives: To assess the efficacy of analgesics for preoperative oblique subcostal transverse abdominis blocks (TAP) and lateral TAP blocks for cases undergoing elective laparoscopic cholecystectomy (ELLC). Patients and methods: This was a prospective controlled randomized study performed on 48 cases admitted to the day case surgery unit of Menoufia University Hospital for whom an ELLC was scheduled. Cases were randomly divided into 3 equal groups using SPSS. Results: There wasn't a significant distinction among the 3 groups regarding HR measurements at any time pre- or postoperatively (p > 0.05). There wasn't significant variation among the three groups as regard end tidal CO2 measurements at any time intraoperatively (p > 0.05). There wasn't significant variance among the 3 groups regarding mean arterial blood pressures (MAP) measurements at 30 min intraoperatively, at baseline, 15 min, 4, 6, and 24 h postoperatively (p > 0.05). While there was a significant distinction among the three groups regarding MAP measurements at 10, 20 min intraoperatively, 2 h, and 12 h postoperatively (p < 0.05). Conclusion: The utilization of an ultrasound-guided (ESP) block resulted in a greater reduction in postoperative tramadol usage and pain scores compared to the oblique subcostal transversus abdominis plane block following ELLC surgery.  

DOI

10.21608/ejhm.2024.363596

Keywords

Ultrasound-guided TAP, Analgesic effect, ELLC

Volume

96

Article Issue

1

Related Issue

48863

Issue Date

2024-07-01

Receive Date

2024-07-03

Publish Date

2024-07-01

Page Start

2,350

Page End

2,356

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 96_Issue 1_Pages 2350-2356.pdf

PDF . 695.6kB

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https://ejhm.journals.ekb.eg/article_363596.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=363596

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6

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparison between the Analgesic Effect of Oblique Subcostal and Lateral Approach of Ultrasound-Guided Transverse Abdominis Blocks for Patients Undergoing Laparoscopic Cholecyste

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Article

Created At

24 Dec 2024