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ORIGINAL ARTICLE
Year : 2020  |  Volume : 7  |  Issue : 2  |  Page : 230-234

Transversus abdominis plane block versus simple instillation of local anesthetics in the peritoneal cavity for postoperative analgesia in laparoscopic prostatectomy


Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Helwan University, Helwan, Egypt

Correspondence Address:
MD Tarek I Ismail
52 TIBA Street, Sporting, Alexandria 21617
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/roaic.roaic_14_19

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Background Laparoscopic radical prostatectomy is minimally invasive technique used to treat cancer prostate. Controlling post-operative pain is one of the main concerns for better post-operative recovery. This study compared the efficacy of ultrasound guided transversus abdominis plane (TAP) block with intraperitoneal instillation of local anesthetics for reduction of postoperative pain after laparoscopic radical prostatectomy. Methods Forty adult patients scheduled for laparoscopic radical prostatectomy were randomized to receive TAP block (group I) or simple instillation of local anesthetics in the peritoneal cavity (group II). The primary outcome was assessing Visual Analogue scale (VAS) during rest and during mobilization. Secondary outcome was measuring total amounts of supplementary morphine consumption. Results There were significant lower pain scores in group II when compared to group I at rest and on movement till the end of the first 24 hours post-operatively. patients undergoing peritoneal block had reduced total amount of 24 h morphine consumption (8±1.9) in comparison to TAB block group (5.8±1). Conclusion Peritoneal block with local anesthetics provides better post-operative analgesia and reduced morphine consumption up to 24 hours after laparoscopic surgery when compared to TAP block.


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