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Research Article | Volume 13 Issue:3 (, 2023) | Pages 2198 - 2205
A Randomized Controlled Trial to Compare the Efficacy of Subcostal Transverse Abdominis Plane Block Vs Conventional Analgesic Technique in Laparoscopic Cholecystectomy
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Published
Sept. 30, 2023
Abstract

Background: Pain and duration of convalescence are the two substantial concerns after laparoscopic cholecystectomy.  Subcostal transversus abdominis plane (STAP) block is a newer block which produces reliable supraumbilical analgesia.  Our aim was to evaluate the efficacy of Subcostal transverse abdominis plane(STAP) block in reducing postoperative pain and opioid consumption. Materials and Method: Eighty patients undergoing elective laparoscopic cholecystectomy were randomly allocated to receive either USG guided STAP block (n=40) with 0.25% Ropivacaine or standard postoperative analgesia (n=40) with Tramadol. All the patients were assessed for post operative pain and rescue analgesia consumption at regular intervals for first 24 hours.  Results: VAS score was significantly higher in control group as compared to the study group at all the time. Total dose of TRAMADOL consumption in study group was 107.5± 61.55 mg and in control group was 225±66.96 mg, which was statistically significant. First dose of rescue analgesia required in study group was at 426.66 ± 331.36 min and in control group was 130.5 ±  240.6min which was statistically significant.  Conclusion: STAP block is a promising modality for pain management when used as apart of multimodal analgesia.

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