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418663

Analgesic Efficacy of Quadratus Lumborum Block Against Erector Spinae Plane Block in Laparoscopic Sleeve Gastrectomy: A Prospective Randomized Study

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Last updated: 29 Mar 2025

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Abstract

Background: Laparoscopic sleeve gastrectomy is a very frequent surgical procedure with notable postoperative pain and discomfort. Both QLB and ESPB techniques have somatic and visceral analgesia. These interventions could be integrated into a multimodal analgesia strategy in sleeve gastrectomy surgeries.
Objective: This study aimed to assess the postoperative analgesic efficacy of quadratus Lumborum block against erector spinae plane block in sleeve gastrectomy operations.
Patients and Methods: This randomized prospective experiment had 92 people who were randomly assigned to have elective sleeve gastrectomy. They were randomly assigned to two groups of equivalent sizes [46 patients in each]. The initial group received QLB. The second group received ESPB.
Results: The findings revealed no statistically significant difference in postoperative morphine consumption over a 24-hour period between the two groups [5.35 ± 2.19 mg in QLB versus 5.48 ± 2.17 mg in ESPB, p = 0.775], as well as in postoperative VAS scores and the timing of the initial request for rescue analgesia. Both techniques alleviated the stress response during trocar insertion and abdominal insufflation.
Conclusion: The Quadratus Lumborum block [QLB] and Erector Spinae Plane block [ESPB] can be employed to reduce postoperative pain in sleeve gastrectomy surgeries, as they efficiently address both somatic and visceral pain components.

DOI

10.21608/ijma.2025.361842.2133

Keywords

Quadratus Lumborum block, Erector spinae plane block, sleeve gastrectomy

Authors

First Name

Adel

Last Name

Hassan

MiddleName

Ali

Affiliation

Department of Anesthesia, Intensive Care, and Pain Management, Faculty of Medicine, Port Said University, Port Said, Egypt.

Email

adel.hassan@med.psu.edu.eg

City

New damietta

Orcid

0009-0002-8098-2069

First Name

Mohammad

Last Name

Mohammad Salama

MiddleName

Elhossieny

Affiliation

Department of Anesthesia and Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Email

mohammadelhossieny88@med.suez.edu.eg

City

Suez Cana

Orcid

0000-0003-2273-9810

First Name

Hani

Last Name

Ali

MiddleName

Gharib

Affiliation

3 Department of Anesthesia, Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Email

hanigharib29@gmail.com

City

Mansoura

Orcid

-

First Name

Hatem

Last Name

Elkenany

MiddleName

Mahmoud

Affiliation

Department of Anesthesia and Critical Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

hatemmahmoud.kenany@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Gad

MiddleName

Mehrez

Affiliation

5 Department of General, gastrointestinal and Hepatobiliary Surgery Faculty of Medicine, Delta University for Science and Technology, Gamasa, Egypt.

Email

ahmedmehrez2010@yahoo.com

City

-

Orcid

-

First Name

Tamer

Last Name

Abdelsalam

MiddleName

Ahmed Abdelmonem

Affiliation

3 Department of Anesthesia, Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Email

tamerhammad53@mans.edu.eg

City

-

Orcid

0000-0002-1436-7589

Volume

7

Article Issue

4

Related Issue

54764

Issue Date

2025-04-01

Receive Date

2025-02-19

Publish Date

2025-04-01

Page Start

6,235

Page End

6,240

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 7_Issue 4_Pages 6235-6240.pdf

PDF . 1.6MB

Link

https://ijma.journals.ekb.eg/article_418663.html

Detail API

http://journals.ekb.eg?_action=service&article_code=418663

Order

17

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Analgesic Efficacy of Quadratus Lumborum Block Against Erector Spinae Plane Block in Laparoscopic Sleeve Gastrectomy: A Prospective Randomized Study

Details

Type

Article

Created At

29 Mar 2025