Abdulkadir BUT, Abdussamed YALCIN, Mehmet SAHAP, Merve SEVİM, Handan GULEC

Ultrason Kılavuzlu ve Laparoskop Yardımlı Transversus Abdominis Plan Bloklarının Analjezik Etkinliklerinin Laparoskopik Kolesistektomilerde Karşılaştırılması: Randomize Prospektif Bir Çalışma

Amaç: Çalışmamızda laparoskopik kolesistektomi yapılan hastalar- da ağrı kontrolünü optimize etmek için laparoskop kılavuzlu Trans- versus Abdominis Düzlem bloğu (LAP-TAP) ile ultrason eşliğinde uygulanan Transversus Abdominis Düzlem bloğunun (USG-TAP) postoperatif analjezik etkinliğini karşılaştırmak istedik. Yöntem: Randomize kontrollü, prospektif, yapılan çalışmaya katı- lan 18-65 yaş, ASA I-III, 63 hasta 3 gruba ayrıldı. Grup USG-TAP’a postoperatif dönemde (n=21) USG eşliğinde TAP blok uygulandı. Grup LAP-TAP ’a (n=21) ise postoperatif laparoskopi yardımlı olarak TAP blok uygulandı. Kontrol grubuna (n=21) herhangi bir ek işlem uygulanmadı. Postoperatif dönemde Vizüel Analog Skala (VAS) skoru ve tramadol kullanımı ile ağrı değerlendirmesi yapıldı. Bulgular: Gruplar arası VAS'taki zamana bağlı değişiklik istatistiksel anlamlı düzeyde farklıydı (p=0,002). Zamana göre değişim USG-TAP ve LAP-TAP gruplarında benzer iken (p=0,221), kontrol grubundaki değişimin diğer iki gruptan anlamlı farklı olduğu görüldü (p

Ultrasound-guided vs Laparoscopic-asisted Transversus Abdominis Plane Block for Laparoscopic Cholecystectomy: A Randomized Prospective Study

Objective: To compare the postoperative analgesic efficacy and side effects of ultrasound guided-Transversus Abdominis Plane block (USG-TAP) versus laparoscopic-guided Transversus Abdomi- nis Plane block (LAP-TAP) in patients undergoing laparoscopic cho- lecystectomy. Methods: This randomised, prospective, controlled study includ- ed 63 patients aged 18-65 years, classified as ASA I-III, and divided into three groups: Group USG-TAP (n=21) received postoperative TAP block under USG guidance, Group LAP-TAP (n=21) received postoperative laparoscopic-guided TAP block, and Group Con- trol (n=21) received no additional procedure. Visual Analog Scale (VAS) scores and tramadol consumption were used to evalute postoperative pain. Results: The changes in Visual Analog Scale (VAS) scores over time were statistically different in the groups (p=0.002). The change over time was similar in the USG and LAP groups (p=0.221), and the change in the control group was statistically different from that of the other two groups (p

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