Related Experiment Video
Updated: Jun 28, 2025
08:50
Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
Published on: June 25, 2013
13.3K
Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy
Ela Erten1, Umut Kara1, Fatih Şimşek1
1University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
Revista Da Associacao Medica Brasileira (1992)
|April 24, 2024
Summary
The modified thoracoabdominal nerves block through perichondrial approach significantly reduces postoperative pain and analgesic needs after laparoscopic cholecystectomy compared to standard port site infiltration.
Area of Science:
- Anesthesiology
- Surgical Pain Management
- Regional Anesthesia
Background:
- Laparoscopic cholecystectomy can cause significant postoperative pain.
- Effective pain management is crucial for patient recovery and satisfaction.
- Current methods like local anesthetic infiltration may have limitations.
Purpose of the Study:
- To compare the analgesic efficacy of a novel block with standard local anesthetic infiltration.
- To evaluate the modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy pain.
Main Methods:
- Randomized trial comparing ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach versus local anesthetic infiltration.
- Primary outcome: tramadol consumption in the first 12 hours postoperatively.
- Secondary outcomes: 24-hour tramadol use and visual analog scale (VAS) pain scores.
Main Results:
- Significantly lower tramadol consumption in the modified thoracoabdominal nerves block group within 12 hours (p<0.001).
- Lower static and dynamic VAS pain scores in the modified thoracoabdominal nerves block group (p<0.05).
Conclusions:
- The modified thoracoabdominal nerves block through perichondrial approach provides superior analgesia post-laparoscopic cholecystectomy.
- This technique reduces the need for opioid analgesics and improves pain control.
