Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.27, sa.4, ss.285-290, 2019 (Scopus)
© Copyright Anesthesiology and Reanimation Specialists' Society.Objective: Laparoscopic cholecystectomy is a minimally invasive surgical procedure but it is still associated with postoperative pain within the first 24 hours. Ultrasound-guided transversus abdominis plane block is a regional anesthetic technique which provides postoperative analgesia in abdominal surgery. We aimed to determine the effects of the TAP block on discharge time, non-opioid and opioid consumption, shoulder tip pain, incidence of postoperative nausea and vomiting, and severity of pain evaluated with visual analogue scale in patients who underwent laparoscopic cholecystectomy. Methods: Seventy-two eligible patients who underwent laparoscopic cholecystectomy were included in the study. In 38 patients ultrasound-guided TAP block was performed, and 34 patients were treated with conventional methods such as non-steroid anti-inflamatory drugs. Data related to VAS pain scores, shoulder tip pain, intraoperative opioid consumption, postoperative non-opioid and opioid consumption, nausea vomiting and discharge time were collected retrospectively to determine statistically significant differences between TAP block and non-TAP block groups. Results: VAS pain scores were globally reduced at all time periods in two groups (significant group main effect, F(7.760)=94.47, P<0.001). VAS pain scores were significantly lower at all measurement intervals except 24h in the TAP group than in the non-TAP group. Shoulder pain was significantly higher in TAP block group than non-TAP block group (p<0.001). Any statistically significant difference was not found between the groups in terms of intraoperative, and postoperative opioid consumption, discharge time, nausea and vomiting. Conclusion: Ultrasound-guided TAP block is an effective regional analgesic technique to decrease postoperative abdominal pain, however TAP block does not reduce shoulder tip pain. Multimodal pain management is required after laparoscopic cholecystectomy.