What is it about?
Efficacy of USG-Guided Bilateral Subcostal Tranversus Abdominis Plane Block and Conventional Port
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Why is it important?
Aim and objectives: This prospective, randomised, single blinded controlled study evaluated and compared the efficacy of Bilateral subcostal USG- guided Transversus Abdominis muscle plane block to the Conventional Port site Infiltration in patients who undergo elective Lap- cholecystectomy in Rajiv Gandhi Government General hospital – Madras medical college. Sixty patients belonging to ASA1 and 2, between 18 to 60 years of either sex, satisfying inclusion criteria were randomised into two groups containing 30 patients each. Group 1– TAP block. Group 2 – Port site infiltration. At the end of surgery USG guided TAP block or port site infiltration were given, before extubation. The block was performed under ultrasound guidance. Results: Two groups were similar with respect to demography. Hemodynamics response was similar without any statistical difference between the two groups. Post operative VAS scoring was significantly low in the TAP block with less amount of recue analgesic requirement. Conclusion: We conclude that bilateral USG guided sub costal Transversus abdominis plane block is a better and more efficient alternative method to conventional port site infiltration in Laparoscopic cholecystectomy to provide analgesia in the postoperative period.
Perspectives
Aim and objectives: This prospective, randomised, single blinded controlled study evaluated and compared the efficacy of Bilateral subcostal USG- guided Transversus Abdominis muscle plane block to the Conventional Port site Infiltration in patients who undergo elective Lap- cholecystectomy in Rajiv Gandhi Government General hospital – Madras medical college. Sixty patients belonging to ASA1 and 2, between 18 to 60 years of either sex, satisfying inclusion criteria were randomised into two groups containing 30 patients each. Group 1– TAP block. Group 2 – Port site infiltration. At the end of surgery USG guided TAP block or port site infiltration were given, before extubation. The block was performed under ultrasound guidance. Results: Two groups were similar with respect to demography. Hemodynamics response was similar without any statistical difference between the two groups. Post operative VAS scoring was significantly low in the TAP block with less amount of recue analgesic requirement. Conclusion: We conclude that bilateral USG guided sub costal Transversus abdominis plane block is a better and more efficient alternative method to conventional port site infiltration in Laparoscopic cholecystectomy to provide analgesia in the postoperative period.
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This page is a summary of: Efficacy of USG-Guided Bilateral Subcostal Tranversus Abdominis Plane Block and Conventional Port Site Infiltration after Laparoscopic Cholecystectomy: A Prospective Randomised Controlled Study, Indian Journal of Anaesthesia and Analgesia, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.6319.7.
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