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Laparoscopically Guided Transversus Abdominis Plane Block Offers Better Pain Relief After Laparoscopic Cholecystectomy: Results of a Triple Blind Randomized Controlled Trial by Vindal, Anubhav; Sarda, Hitesh; Lal, Pawanindra is a Medicine article available to read on EtoBox.

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## Background: Transversus abdominis plane (tap) block is a regional anaesthetic technique providing analgesia to the parietal peritoneum, muscles and skin of the anterior abdominal wall innervated by somatic nerves t6 to l1. we present the results of our randomized triple blind study comparing laparoscopically guided tap block with the commonly used port site local anaesthetic infiltration for pain relief after laparoscopic cholecystectomy. ## Methods: A hundred patients with symptomatic gallstones planned for laparoscopic cholecystectomy were randomized into two groups of tap block and port site infiltration. group a received 4-quadrant tap block with 10 ml of 0.25% bupivacaine at each of the four sites guided laparoscopically and port site infiltration with 10 ml of normal saline at each of the 4 ports for blinding the surgeon. group b received port site infiltration with 0.25% bupivacaine, and infiltration with normal saline at tap block sites for blinding the surgeon. post-operative pain (at 3, 6, 24 h and 1-week post-operative) (vas), time to return to activities of daily living and patient satisfaction (capuzzo score) were recorded by an observer blinded towards the groups o

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Author

Vindal, Anubhav; Sarda, Hitesh; Lal, Pawanindra

Publisher

Springer; Springer-Verlag; Springer Verlag; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc.; Springer Nature (ISSN 0930-2794)

Published

2020

Language

EN

Field

Medicine (Health Sciences)