الفهرس 
Laparoscopic Cholecystectomy
Regional anesthesia techniqueOnly 14 pages are availabe for public view
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Abstract
Summary
Laparoscopic cholecystectomy is a safe and minimally invasive
procedure compared to open cholecystectomy, laparoscopic method is
associated with less post-operative pain, early recovery, reduced hospital
expenses and improved cosmoses and patient satisfaction.
Although it is minimally invasive procedure, many of the patients
experience moderate to severe pain in the early postoperative period.
Postoperative analgesia is very important due to its role in reduction
of postoperative stress response, reduction in postoperative morbidity,
improving surgical outcome, facilitation of rehabilitation and surgical
recovery.
Currently, multimodal analgesia techniques are used widely to
manage postoperative pain. The ultrasound-guided transversus abdominis
plane block and paravertebral block was introduced as part of a multimodal
pain-control technique that reduces postoperative pain and opioid
consumption after laparoscopic cholecystectomy.
The aim of our study was to compare the analgesic efficacy and
safety of subcostal transversus abdominis plane block versus paravertebral
block for postoperative pain management in laparoscopic cholecystectomy.
This study was approved by the Ethics Committee and was carried on
ninety patients ASA I &II, admitted to Tanta university hospital in general
surgery department for laparoscopic cholecystectomy.