Tap Block VS Port-Site Infiltration of Local Anasthesia in Laparoscopic Cholecystectomy; Our Experience in Qazi Hussain Ahmed Medical Complex, Nowshera | [Medical Forum • 2022]

Author(s):

1. Kamran Hakeem Khan: Department of Surgery, Nowshera Medical College, Nowshera.Pakistan

2. Fazal Ghani: Department of Surgery, Nowshera Medical College, Nowshera.Pakistan

3. Muddasar Shahzad: Department of Surgery, Nowshera Medical College, Nowshera.Pakistan

4. Shahid Khan: Department of Surgery, Nowshera Medical College, Nowshera.Pakistan

5. Waseem Yar Khan: Department of Surgery, Nowshera Medical College, Nowshera.Pakistan

6. Zahid Khan: Department of Surgery, Nowshera Medical College, Nowshera.Pakistan

Abstract:

To compare the efficacy of ultrasound guided bilateral sub-costal transversus abdominis plane (TAP) block versus port infiltration of bupivacaine for treating post operative analgesia. Study Design: cross sectional study Place and Duration of Study: This study was conducted at the Qazi Hussain Ahmed Medical Complex Nowshera from February 2017 to November 2021. Materials and Methods: All the patients undergoing elective laparoscopic cholecystectomy admitted to the surgical unit were included. Patients were divided into two groups, one group received ultrasound guided bilateral sub-costal TAP block (T) while other group had port site infiltration (I) with bupivacaine at the end of the surgery. Tramadol and diclofenac injectable were used as the postoperative analgesics if needed. Numerical Rating Scale (NRS) was used for pain assessment. NRS at 1 hr to 24 hr at different intervals after surgery, time to first analgesic request and total dose of analgesics in 24 h were recorded. Chi- square test and independent t-test were used for qualitative and quantitative variables respectively. Results: A total of 500 patients were included and divided into two groups. Time needed to use first analgesic in Group I and Group T was 312 ± 45.03 and 613 ± 135.25 min and mean tramadol required was125 ± 40.03 mg and 43 ± 16.09 mg, respectively (P = 0.001). Calculated mean NRS at different intervals between 1hr and 24 hr was significantly lower in Group T as compared to group I. Conclusion: In the management of post Op pain, bilateral subcostal TAP block was found superior in controlling pain after laparoscopic cholecystectomy procedure.

Page(s): 19-22

DOI: DOI not available

Published: Journal: Medical Forum, Volume: 33, Issue: 5, Year: 2022

Keywords:

Laparoscopic cholecystectomy , Tramadol , Transversus Abdominis Plane Block , NRS , Port Site Block

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