Işın GENÇAY, Gökay ATEŞ, Gülçin AYDIN, Selim ÇOLAK, Gökhan KARACA, Faruk PEHLİVANLI, Ferda YAMAN

Laparoskopik Kolesistektomi Sonrası Postoperatif Ağrıda Transversus Abdominis Alan Bloğu, Retrospektif Bir Çalışma

Amaç: Laparoskopik kolesistektomi, minimal invazif cerrahi girişim olmasına rağmen, postopera- tif ilk 24 saat ağrı görülmektedir. Ultrasonografi eşliğinde transversus abdominis alan (TAP) bloğu, abdominal cerrahide postoperatif analjezi sağlayan rejyonal anestezi tekniğidir. Laparoskopik kolesistektomi nedeniyle opere edilen hastalarda, transversus abdominis alan blo- ğunun; taburculuk süresi, opioid ve opioid olmayan ilaçların tüketimi, bulantı, kusma, omuz ağrısı, vizüel analog ağrı skalasına (VAS) göre ağrı şiddetine etkilerini belirlemeyi amaçladık. Yöntem: Laparoskopik kolesistektomi olan 72 hasta çalışmaya dahil edildi. Otuz sekiz hastaya ultrasonografi eşliğinde TAP blok uygulanmış olup, 34 hastaya non steroid anti inflamatuvar ilaçlarla ağrı kontrolü sağlanmıştır. VAS skoru, omuz ağrısı, intraoperatif ve postoperatif opioid ve opioid olmayan ilaçların tüketimi, bulantı, kusma ve taburculuk süresi, TAP blok uygulanan ve uygulanmayan olmak üzere gruplar arası farklılıklar istatistiksel analiz ile araştırıldı. Bulgular: VAS skorları her 2 grupta da genel olarak tüm zaman periyodlarında azalmıştır (anlam- lı temel etki, F(7.760)=94.47, p

Transversus Abdominis Plane (TAP) Block for Postoperative Analgesia After Laparoscopic Cholecystectomy, A Retrospective Study

Objective: Laparoscopic cholecystectomy is a minimally invasive surgical procedure but it is stillassociated with postoperative pain within the first 24 hours. Ultrasound-guided transversusabdominis plane block is a regional anesthetic technique which provides postoperative analgesiain 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 andvomiting, and severity of pain evaluated with visual analogue scale in patients who underwentlaparoscopic cholecystectomy.Methods: Seventy-two eligible patients who underwent laparoscopic cholecystectomy wereincluded in the study. In 38 patients ultrasound-guided TAP block was performed, and 34 patientswere treated with conventional methods such as non-steroid anti-inflamatory drugs. Data relatedto VAS pain scores, shoulder tip pain, intraoperative opioid consumption, postoperative non-opioid and opioid consumption, nausea vomiting and discharge time were collected retrospec-tively to determine statistically significant differences between TAP block and non-TAP blockgroups.Results: VAS pain scores were globally reduced at all time periods in two groups (significantgroup main effect, F(7.760)=94.47, P

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