Velásquez-Gutiérrez E, Sanabria-Trujillo R, Hernández-Aguilar S, Pérez-Aguilar F, Ledesma-Maya JA, González-León FD, Pinto-Angulo V

Language: Spanish
References: 21
Page: 201-207
PDF size: 195.49 Kb.

ABSTRACT

Introduction: The effective management of postoperative pain is an important element to ensure an early hospital discharge in laparoscopic surgery short stay procedures and preventing the adverse effects of analgesics and prolonged immobility. The transversus abdominis plane (TAP) block has been studied as an option for this matter. Objectives: To evaluate the effectiveness of the TAP block in pain control after elective laparoscopic cholecystectomy. Material and methods: A prospective randomized controlled trial was conducted with patients undergoing elective laparoscopic cholecystectomy with four ports. The patients were divided in two groups of 15 patients each, recieving laparoscopic assisted TAP block vs. conventional periportal infiltration with 2% ropivacaine. Postoperative pain scores were recorded using the analog evaluation scale at the 1st hour, 6, 12, and 24 hours after the procedure. Data analysis was executed using SPSS software with Levene test. p value ‹ 0.05 was considered significant. Results: Postoperative pain scores were slightly lower in the TAP block group, with statistic significance at the 12 and 24 hours (p = 0.46, p = 0.002). Also the pain drugs dosage was lower in the TAP block group with no significant difference from the other group. No complications were reported. Conclusion: The TAP block proves to be an effective technique for postoperative pain control after laparoscopic cholecystectomy.

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