Postoperative Analgesic Efficacy of Subcostal Transversus Abdominis Plane Block for Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial

Authors

1 Department of Anesthesia and Intensive care, Faculty of medicine for male, Al-Azhar University, Cairo 12992, Egypt.

2 Anesthesia and Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Abstract

Objective: The purpose of this research was to determine whether bilateral subcostal TAPB was effective in reducing postoperative pain for patients undergoing laparoscopic sleeve gastrectomy (LSG). Methods: This randomized controlled single-blind trial was conducted on 100 cases aged from 20 to 65 years old, both sexes, with BMI between 35 and 60 kg/m2 undergoing elective LSG. The cases were equally distributed into two groups: the TAP group received general anesthesia (GA) plus ultrasound (US)-guided bilateral subcostal TAPB(30 cc bupivacaine 0.375% at each site)at the end of the operation, and the control group, received GA. Results: There was a significant difference between the two categories at 0h, 30 min, two h, four h, six h, 12h, and 24h in terms of the visual analogue scale, pethidine consumption, postoperative nausea and vomiting (PONV), and antiemetic dose consumption of the TAPB group compared to the control group (P Conclusion: Reduced pain scores, opioid intake, and PONV with no incidence of complication are all benefits of modern multimodal analgesia, which includes US subcostal TAPB.

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