JHSM

Journal of Health Sciences and Medicine (JHSM) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
The effects of laparoscopy-guided transversus abdominis plane (TAP) block in the sleeve gastrectomy procedure: a randomized double-blinded placebo-controlled trial
Aims: Laparoscopy-guided transversus abdominis plane (TAP) block is a novel postoperative analgesic modality. We aimed to explore the effect of TAP block in laparoscopic sleeve gastrectomy (LSG) procedures.
Methods: Forty patients were randomized into two groups: TAP block with bupivacaine and placebo. Visual analog scale scores at postoperative hours 1, 6, 12, and 24, total analgesic consumption and opioid doses, and postoperative nausea and vomiting (PONV) scores were evaluated between the groups.
Results: Postoperative first-hour VAS scores differed significantly between the groups (p<0.05). PONV scores were also lower in the TAP block group (p<0.05). The first rescue opiod requirement was later in the TAP block group than in the placebo group. Pain scores at postoperative hours 6, 12, and 24 and total analgesia doses were not significantly different between the groups.
Conclusion: Laparoscopy-guided TAP block reduced early postopeative pain and may also attenuate PONV in LSG.


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Volume 7, Issue 3, 2024
Page : 264-269
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