Postoperative pain management is a critical aspect of recovery following laparoscopic cholecystectomy, a commonly performed procedure for symptomatic gallbladder disease. Effective analgesia not only enhances patient comfort but also facilitates early mobilization, reduces the incidence of complications, and improves overall outcomes.
Oblique subcostal transversus abdominis plane block (OSTAP), one of the regional anesthesia techniques, is used in middle and upper abdominal surgeries OSTAP blocks the T6-9 intercostal nerves between the rectus abdominis and transversus abdominis muscle. Many studies have shown that OSTAP block reduces the postoperative analgesic and opioid requirement and improves the quality of postoperative pain control.
Adult patients aged 18-60 years.
Gender: Both males and females.
BMI less than 35 kg/m2
Scheduled for laparoscopic cholecystectomy surgery
None
Parallel
drug injected between the rectus abdominis muscle and the transversus abdominis muscle
Procedure/Surgery20 ml of 0.25% bupivacaine + 8 mg dexamethasone between the rectus abdominis muscle and the transversus abdominis muscle on both sides
drug injected in the external oblique intercostal plane on both sides
Procedure/Surgery20 ml of 0.25% bupivacaine+ 8 mg dexamethasone into the external oblique intercostal plane on both sides
the first analgesic request depending on Numeric Rating Scale
the first analgesic request depending on Numeric Rating Scale
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