Laparoscopic-guided transversus abdominis plane (TAP) block in postoperative pain management for patients undergoing laparoscopic cholecystectomy due to gallstone disease and related complications, including acute cholecystitis and gallstone-related pancreatitis as a pert of multimodal pain control Gallstone, Laparoscopic cholecystectomy,Acute cholecystitis, Transversus abdominis plane block,Minimally invasive surgery, Multimodal pain control
Conditions
Interventions
Laparoscopic cholecystectomy conducted under general anesthesia. Before the first incision 5 mL of 0.25 percent bupivacaine is administered via infiltration at the umbilical site to ensure local analg
Experimental Procedure/Surgery
Laparoscopic guided subcostal transversus abdominis plane block
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: The study included 1.patients aged 18 to 80 years 2.Diagnosed with cholelithiasis and gallstone-related complications, such as acute cholecystitis, acute cholangitis, gallstone-related pancreatitis, and a history of endoscopic retrograde cholangiopancreatography (ERCP). 3. The patients undergoing laparoscopic cholecystectomy at the Department of Surgery, Faculty of Medicine, Srinakharinwirot University, Thailand, between April 1, 2022, and April 30, 2024.
Exclusion criteria
Exclusion criteria: 1.Patients who underwent conversion to open surgery 2. Patient who had allergies to Bupivacaine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative dose of morphine 24 hours after surgery milligrams | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain score (Visual Analog Scale) 24 hours after surgery Point (0-10 points) | — |
Countries
Thailand
Contacts
Public ContactThawatchai Tullavardhana
Srinakhariwirot University
Outcome results
None listed