Is the application of subcostal transversus abdominis plane block effective for pain control in classical four-port laparoscopic cholecystectomy?

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dc.contributor.authorOzkan, Atakan
dc.contributor.authorGulaydin, Nihat
dc.contributor.authorKilic, Bahriye
dc.contributor.authorSevinc, Mert Mahsuni
dc.date.accessioned2025-03-26T16:10:01Z
dc.date.available2025-03-26T16:10:01Z
dc.date.issued2024
dc.departmentİstanbul Esenyurt Üniversitesi
dc.description.abstractThe utilization of transversus abdominis plane (TAP) block for postoperative pain management has proven to be efficacious. The purpose of this inquiry is to evaluate the effectiveness of right-sided TAP blockade guided by ultrasonography (USG) in managing pain subsequent to laparoscopic cholecystectomy. A total of 60 patients were equallydistributed into two groups. The control group was comprised of patients who did not receive a TAP block, whereas the TAP block group consisted of patients who underwent an ultrasound-guided, right-sided unilateral subcostal TAP block with 20 mL of 0.25% bupivacaine. A Verbal Numerical Rating Scale was administered to all participants for pain assessment at postoperative intervals of 0th, 6th, 12th and 24th hours. Additionally, the overall amount of supplementary analgesic used after surgery, age distribution among each gender classification and body mass index range categories as well as operation time duration; use or non-use of drain; and incidence rate for postoperative complications were recorded for each patient individually. The mean age of participants was 47.72 ± 13.80 years, with a female-to-male ratio of 41/19. The control group exhibited significantly higher pain scale measurements than the block group at the postoperative 0th and the postoperative 24th hour. Drain replacement yielded notably higher pain scores for both TAP and control groups at the postoperative 0th hour. Neither BMI nor operation duration had significant effects on postsurgical pain in either patient group—whether or not they received a TAP block treatment. Our research shows that the implementation of a TAP block and exclusion of surgical area drainage placement yield favorable results in mitigating postoperative pain. Notably, BMI and procedure duration do not exhibit any discernible impact on postoperative pain management. © 2024 The Author(s).
dc.identifier.doi10.22514/sv.2024.076
dc.identifier.endpage75
dc.identifier.issn1334-5605
dc.identifier.issue7
dc.identifier.scopus2-s2.0-85198917662
dc.identifier.scopusqualityQ3
dc.identifier.startpage69
dc.identifier.urihttps://doi.org/10.22514/sv.2024.076
dc.identifier.urihttps://hdl.handle.net/20.500.14704/782
dc.identifier.volume20
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherPharmamed Mado Ltd
dc.relation.ispartofSigna Vitae
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20250326
dc.subjectDrain
dc.subjectLaparoscopic cholecystectomy
dc.subjectLaparoscopic cholecystectomy
dc.subjectPain
dc.titleIs the application of subcostal transversus abdominis plane block effective for pain control in classical four-port laparoscopic cholecystectomy?
dc.typeArticle

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