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Deep Rectus Sheath (Preperitoneal) Block in Laparoscopic Cholecystectomy: A Case Report.
Francesco Marrone1, Edoardo Gentile2, Marco Tomei1
1From the Department of Anesthesia and Intensive Care, Santo Spirito Hospital, Rome, Italy.
A&A Practice
|May 1, 2025
Summary
This study explores a novel preperitoneal block for abdominal surgery pain relief. Laparoscopic guidance ensured effective, opioid-free analgesia, suggesting a promising new technique for enhanced recovery after surgery.
Area of Science:
- Anesthesiology
- Surgical Pain Management
- Regional Anesthesia Techniques
Background:
- Rectus sheath block is a common regional anesthesia technique.
- Preperitoneal injection is a known complication of traditional rectus sheath blocks.
- Targeting the preperitoneal space offers potential for improved abdominal analgesia.
Purpose of the Study:
- To describe a novel laparoscopically guided rectus sheath and preperitoneal block.
- To evaluate the efficacy of this technique for pain control during laparoscopic cholecystectomy.
- To assess the safety and anesthetic distribution of the preperitoneal block.
Main Methods:
- A case report detailing a laparoscopically guided rectus sheath and preperitoneal block.
- Ultrasound imaging was used to confirm anesthetic spread.
- Pain management and opioid consumption were monitored post-operatively.
Main Results:
- The patient achieved effective pain control without the need for opioids.
- No complications were reported following the procedure.
- Ultrasound confirmed appropriate anesthetic distribution in the preperitoneal space.
Conclusions:
- Laparoscopically guided preperitoneal block is a potentially effective technique for managing pain after abdominal surgery.
- This method offers opioid-sparing analgesia and appears safe.
- Further research is needed to standardize the technique and elucidate its mechanism of action.
