Publication:
Subcostal Transversus Abdominis Plane Block for Laparoscopic Sleeve Gastrectomy, Is It Worth the Time?

dc.contributor.authorCİNGİ, ASIM
dc.contributor.authorsCoskun, Muemin; Yardimci, Samet; Arslantas, Mustafa Kemal; Altun, Gulbin Tore; Uprak, Tevfik Kivilcim; Kara, Yalcin Burak; Cingi, Asim
dc.date.accessioned2022-03-12T22:38:13Z
dc.date.available2022-03-12T22:38:13Z
dc.date.issued2019
dc.description.abstractBackgroundObesity is a complex and multifactorial disease whose incidence has increased, making it a serious public health issue. Laparoscopic sleeve gastrectomy (LSG) is one of the most common surgical procedures that is chosen for bariatric surgery. Decreasing postoperative pain in these patients which will increase patients' compliance and quality of life will lead to better surgical results. This study aims to compare the effectiveness of trocar site infiltration versus bilateral subcostal transversus abdominis plane block (TAP) in controlling postoperative pain in patients.MethodsForty-five consecutive patients who have undergone LSG in xxx General Surgery Department have been enrolled in the study. Patients were divided into two groups according to the surgeon's choice. The first group underwent TAP block, while the second group underwent trocar site infiltration. Patients' pain was recorded via visual analogue scale (VAS) in postoperative periods.ResultsTwenty-nine female (69%) and 13 (31%) male patients were included in the study. Median age was 41 (18-58) and median BMI was 48 (41.1-68). When the VAS values were compared, in the TAPB group, 6th hour resting and coughing pain was statistically significantly less. Other VAS values measured while resting, coughing, and post-mobilization did not show significant differences. There were no significant differences between the groups' tramadol use.ConclusionsAfter LSG, TAP block and trocar site infiltration yield similar pain control. Due to the faster application and fewer side effects, we concluded that trocar site infiltration should be the intervention of choice in controlling postoperative pain in LSG.
dc.identifier.doi10.1007/s11695-019-03984-4
dc.identifier.eissn1708-0428
dc.identifier.issn0960-8923
dc.identifier.pubmed31175560
dc.identifier.urihttps://hdl.handle.net/11424/235546
dc.identifier.wosWOS:000495378400014
dc.language.isoeng
dc.publisherSPRINGER
dc.relation.ispartofOBESITY SURGERY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBariatric surgery
dc.subjectObesity
dc.subjectPostoperative pain
dc.subjectTAP block
dc.subjectLSG
dc.subjectBARIATRIC SURGERY
dc.subjectANALGESIC EFFICACY
dc.subjectDOUBLE-BLIND
dc.subjectCHOLECYSTECTOMY
dc.subjectGUIDELINES
dc.subjectPAIN
dc.titleSubcostal Transversus Abdominis Plane Block for Laparoscopic Sleeve Gastrectomy, Is It Worth the Time?
dc.typearticle
dspace.entity.typePublication
local.avesis.id0e4c1925-5ffe-4cf4-be37-7ff9cac7c474
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages7
local.journal.quartileQ1
oaire.citation.endPage3194
oaire.citation.issue10
oaire.citation.startPage3188
oaire.citation.titleOBESITY SURGERY
oaire.citation.volume29
relation.isAuthorOfPublication50f7eb42-ba6b-4978-b9c3-29bea534e0fb
relation.isAuthorOfPublication.latestForDiscovery50f7eb42-ba6b-4978-b9c3-29bea534e0fb

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