Publication:
Bilateral 4-quadrant laparoscopic-assisted transversus abdominis plane block reduces early postoperative pain after laparoscopic cholecystectomy a prospective, single-blind, randomized study

dc.contributor.authorÇevikkalp, Eralp
dc.contributor.authorNarmanlı, Mustafa
dc.contributor.authorÖzgüç, Halil
dc.contributor.buuauthorOcakoğlu, Gökhan
dc.contributor.buuauthorOCAKOĞLU, GÖKHAN
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.
dc.contributor.orcid0000-0002-1114-6051
dc.date.accessioned2024-09-13T12:38:37Z
dc.date.available2024-09-13T12:38:37Z
dc.date.issued2023-02-01
dc.description.abstractObjectives: To investigate the efficacy of bilateral 4-quadrant laparoscopic-assisted transversus abdominis plane (BLTAP) block in laparoscopic cholecystectomy (LC).Methods: This study was carried out at Private Medicabil Hospital, Bursa, Turkey, between September 2021 and March 2022. Patients were randomly divided into 4 groups (n=40, each): i) the standard analgesia (SA) group received the block and port-site infiltration with normal saline (NS); ii) the local anesthetic group received the block with NS and port-site infiltration of bupivacaine; iii) the unilateral laparoscopic-assisted transversus abdominis plane (ULTAP) block group received 2-quadrant block with bupivacaine on the right and NS on the left and port-site NS infiltration; and iv) the BLTAP block group received bilateral bupivacaine and port-site NS infiltration. Postoperative 1-, 3-, 6-, 12-, and 24-hours visual analog scale (VAS) pain scores at rest and during cough, opioid requirement, presence of nausea and vomiting, and satisfaction scores were recorded.Results: The one-hour VAS score at rest was lower in the BLTAP block group than in the SA and ULTAP block groups. The change in VAS score was higher in the SA group than in the BLTAP block group. During cough, the one-hour VAS score was lower in the BLTAP block group than in the SA group. There were no differences among groups in other parameters. Conclusion: Bilateral 4-quadrant laparoscopic-assisted transversus abdominis plane block technique is more effective than SA, local anesthetic infiltration, and ULTAP block in preventing early postoperative pain after LC.
dc.identifier.doi10.15537/smj.2023.44.2.20220407
dc.identifier.endpage154
dc.identifier.issn0379-5284
dc.identifier.issue2
dc.identifier.startpage145
dc.identifier.urihttps://doi.org/10.15537/smj.2023.44.2.20220407
dc.identifier.urihttps://hdl.handle.net/11452/44730
dc.identifier.volume44
dc.identifier.wos000995784500004
dc.indexed.wosWOS.SCI
dc.language.isoen
dc.publisherSaudi Med J
dc.relation.journalSaudi Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAnalgesic efficacy
dc.subjectAnesthesia
dc.subjectSpread
dc.subjectLaparoscopic cholecystectomy
dc.subjectPain management
dc.subjectPostoperative analgesia
dc.subjectPort-site infiltration
dc.subjectTransversus abdominis plane block
dc.subjectRegional anesthesia
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectMedicine, general & internal
dc.subjectGeneral & internal medicine
dc.titleBilateral 4-quadrant laparoscopic-assisted transversus abdominis plane block reduces early postoperative pain after laparoscopic cholecystectomy a prospective, single-blind, randomized study
dc.typeArticle
dspace.entity.typePublication
relation.isAuthorOfPublication8ff963e8-284c-49e2-99b9-a46777690e8c
relation.isAuthorOfPublication.latestForDiscovery8ff963e8-284c-49e2-99b9-a46777690e8c

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