الفهرس 
IntroductionOnly 14 pages are availabe for public view
Abstract
A
variety of unwanted post-operative consequences, including patient suffering, distress, respiratory complications, delirium, myocardial ischemia, prolonged hospital stay and an increased likelihood of chronic pain due to poorly controlled acute pain after laparoscopic abdominal surgery.
The goals of providing safe, effective analgesia, with minimal side effects for the patient, together with inhibition of trauma-induced nociceptive impulses are the analgesic regimen need to be met.
Many studies provide different pain modalities as local infiltration of the surgical field, systemic analgesia (narcotics and non-narcotics), neuro-axial blocks, and nerve blocks shined out, however each has shown its side effect that limits its use to specific cases.
Abdominal field blocks are simple to perform and have a good safety profile, also have been extensively used for a variety of surgical procedures for many years.
The aim of this study is to compare the analgesic efficacy of ultrasound-guided TQL with TAP block during laparoscopic bariatric surgery and to improve the outcome of the patients undergoing laparoscopic bariatric surgery under general anesthesia who suffer from postoperative pain and in the early postoperative period regarding pain relief, decreasing postoperative opioid requirements, provision of comfort, early mobilization and improved respiratory functions.
The study was conducted on 40 randomly chosen patients in Ain Shams University Hospitals after approval of the medical ethical committee. They were allocated in two groups of 20 patients each:
group TQL (n=20): received combined general anesthesia with TQL block.
group TAP (n=20): received combined general anesthesia with TAP block.
The two groups were adequately monitored and assessed intra- and post-operatively and they were compared regarding analgesic outcome by using the visual analogue scaling system, besides, recording time to first analgesic call for rescue analgesia and total consumption of it in the 1st 24 postoperative hours. Demographic data, intra and postoperative hemodynamics.
The results of the study revealed that TQL block has more analgesic efficacy than TAP block. The first call for rescue analgesia (Pethidine), total pethidine consumption and pain scores (visual analog score at rest and movement) indicated the superiority of the analgesic technique TQL block.