COMPARATIVE EVALUATION OF TRANSVERSALIS FASCIA PLANE BLOCK AND EXTERNAL OBLIQUE INTERCOSTAL BLOCK FOR POSTOPERATIVE ANALGESIA IN LAPAROSCOPIC CHOLECYSTECTOMY: A PROSPECTIVE OBSERVATIONAL STUDY
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Keywords
Transversalis fascia plane block, External oblique intercostal block, Laparoscopic cholecystectomy, Postoperative analgesia, Regional anaesthesia, Ultrasound-guided block
Abstract
Background and Aims: Postoperative pain following laparoscopic cholecystectomy remains a significant concern. Regional blocks such as Transversalis Fascia Plane (TFP) and External Oblique Intercostal (EOIC) blocks offer opioid-sparing options. This study aimed to compare their analgesic efficacy.
Methods: A prospective observational study was conducted in 60 ASA II–III patients undergoing laparoscopic cholecystectomy. Group TFP (n=30) received bilateral TFP blocks; Group EOIC (n=30) received bilateral EOIC blocks. Pain scores (VAS and dynamic VAS), time to first rescue analgesia, and total tramadol consumption were recorded over 24 hours.
Results: TFP group showed significantly lower pain scores at all time intervals (p<0.05), prolonged time to rescue analgesia, and reduced opioid use compared to EOIC. No block-related complications were observed.
Conclusion: Ultrasound-guided TFP block provides superior postoperative analgesia over EOIC block in laparoscopic cholecystectomy.
References
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Dr. R.G. Veena
Post Graduate, Department of Anaesthesiology, Narayana Medical College, Nellore, Andhra Pradesh, India.
Dr.Haritha
Assistant Professor, Department of Anaesthesiology, Narayana Medical College, Nellore, Andhra Pradesh, India.
Dr.V.Jagadish
Associate Professor, Department of Anesthesiology, Sri Venkateswara Medical College Hospital and Research Institute, Chennai, Tamil Nadu, India.
Dr. Chaithanya Kumar
Associate Professor, Department of Anaesthesiology, Narayana Medical College, Nellore, Andhra Pradesh, India.
Dr.Krishna Chaitanya
Professor and HOD, Department of Anaesthesiology, Narayana Medical College, Nellore, Andhra Pradesh, India.