Effects of Modified Thoracoabdominal Nerve Block Through Perichondrial Approach on Postoperative Pain and Analgaesic Consumption in Patients Undergoing Laparoscopic Cholecystectomy

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dc.authoridBALCI, FATIH/0000-0002-9005-6758
dc.authoridGundogdu, Oguz/0000-0002-8864-0015
dc.contributor.authorAvci, Onur
dc.contributor.authorGundogdu, Oguz
dc.contributor.authorBalci, Fatih
dc.contributor.authorTekcan, Muhammed Nail
dc.date.accessioned2024-10-26T18:03:51Z
dc.date.available2024-10-26T18:03:51Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjective: To investigate postoperative analgaesic efficacy of modified thoracoabdominal nerve block through perichondrial approach (M-TAPA) and its effect on opioid consumption in patients undergoing laparoscopic cholecystectomy (LC) surgery.Study Design: Randomised, controlled trial.Place and Duration of the Study: Department of Anaesthesiology and Reanimation, Sivas Cumhuriyet University, Sivas, Turkiye, from April to May 2023. Methodology: The study was conducted in two randomised groups: M-TAPA (n = 21) and control group (CG) (no block) (n = 21). All patients had standard general anaesthesia. M-TAPA patients had bilateral M-TAPA block with 0.25% bupivacaine (total volume, 40 ml) at the end of the surgery. In contrast, CG patients had only tramadol for postoperative pain. A numerical rating scale (NRS) and visual analogue scale (VAS) were used for postoperative pain assessment. Total tramadol consumption was calculated.Results: M-TAPA's NRS and VAS scores were lower in postoperative 24 hours (p<0.05). Total tramadol consumption was 116.67 +/- 32.91 mg in CG and 35.71 +/- 39.19 mg in M-TAPA (p<0.001).Conclusion: Bilateral M-TAPA block for postoperative pain control after LC surgery provided effective analgaesia for up to 24 hours and reduced total opioid consumption. Although the M-TAPA block is a novel approach, it will be a part of multimodal analgaesia for routine postoperative pain management in abdominal surgeries. However, more studies with higher numbers of patients will be needed.
dc.identifier.doi10.29271/jcpsp.2024.01.5
dc.identifier.endpage10
dc.identifier.issn1022-386X
dc.identifier.issn1681-7168
dc.identifier.issue1
dc.identifier.pmid38185952
dc.identifier.scopus2-s2.0-85182019291
dc.identifier.scopusqualityQ3
dc.identifier.startpage5
dc.identifier.urihttps://doi.org/10.29271/jcpsp.2024.01.5
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28609
dc.identifier.volume34
dc.identifier.wosWOS:001140254200006
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherColl Physicians & Surgeons Pakistan
dc.relation.ispartofJcpsp-Journal of the College of Physicians and Surgeons Pakistan
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAnalgaesia
dc.subjectBupivacaine
dc.subjectLaparoscopic cholecystectomy
dc.subjectNerve block
dc.subjectPain management
dc.titleEffects of Modified Thoracoabdominal Nerve Block Through Perichondrial Approach on Postoperative Pain and Analgaesic Consumption in Patients Undergoing Laparoscopic Cholecystectomy
dc.typeArticle

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