Utilization of Subcostal Transversus Abdominis Plane Block for Control of Pain After Laparoscopic Cholecystectomy

Abstract

Laparoscopic cholecystectomy (LC), unlike laparotomy, is less invasive surgical procedure, and some patients report mild to moderate pain after surgery. Transversus abdominis plane (TAP) block has been shown to be an appropriate method for postoperative analgesia in patients undergoing abdominal surgery. However, there have been few studies on the efficacy of TAP block after LC surgery, with unclear information on the optimal dose, long-term effects, and clinical significance, and the analgesic efficacy of various procedures. TAP block has been shown to provide good postoperative analgesia as it provides analgesia to the skin, muscles and parietal peritoneum of the anterior abdominal wall from T7 to L1. It has multiple benefits as it decreases prolonged stay in the PACU, improve patient comfort and may improve compliance with postoperative care such as ambulation and respiratory exercise