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title:Laparoscopic Assisted Transversus Abdominis Plane (TAP) Block: Development of Novel Technique for Postoperative Analgesia in Patients Undergoing Gynaecological Laparoscopic Surgeries

Author:Reshma R Korat, Preet B Kagalwala, Bhavana R Soni, Divyang V Shah

Keywords:Total laparoscopic hysterectomy, TAP block, postoperative analgesia, VAS score, Bupivacaine plain (0.25%) solution

Type:Original Article

Abstract:"Introduction: Postoperative pain after laparoscopy surgery can lead to an increased consumption of opioids, with subse-quent nausea, delayed bowel function, and prolonged postoperative recovery. Laparoscopic assisted TAP block is safe, easy to perform and as it is under direct laparoscopic vision, it eliminates the risks of peritoneal perforation. Method: 40 female patients between age 40-70 years, ASA physical status I, II and III undergoing total laparoscopic hyster-ectomy were divided in two groups T (TAP) and C (CONTROL) group. General anaesthesia was given with standard induc-tion and maintenance technique. At the end of surgery, prior to extubation, in group-T laparoscopic assisted TAP block was given with inj. Bupivacaine plain (0.25%) injected bilaterally. Patients in group-C were not given TAP block. Post-operative VAS score, time until request of rescue analgesia and frequency of additional analgesia in first 24hr was noted. Result: In terms of postoperative analgesia and additional analgesic requirement, group T (Tap) was better as compared to group-C (Control). Conclusion: Laparoscopic guided TAP block is simple, safe and most effective supplemental techniques as part of the mul-timodal post-operative analgesic regimen in patients undergoing gynaecological laparoscopy surgery with lower visceral injury risk. "

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