الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The postoperative pain following laparoscopic cholecystectomy consists of both somatic and visceral components with pain originating from port entry wounds, gallbladder resection and abdominal insufflation that leads to peritoneal distention and peritoneal damage.
Erector Spinae Plane Block (ESPB) is a fairly newly defined as paraspinal fascial plane block that has been used in the treatment of acute and chronic pain, with studies demonstrating its effect on all pain caused by LC.
Consequently, this study was conducted and aimed to determine analgesic efficacy of (ESPB) on postoperative quality of recovery after laparoscopic cholecystectomy.
This prospective randomized controlled interventional study was conducted at operative theatres, Anesthesiology, Intensive Care and Pain Management Department, Faculty of Medicine, Ain Shams University Hospitals for 6 months.
During this study, 40 patients electively scheduled for laparoscopic cholecystectomy were enrolled and divided into two equal groups; group A subjected to receive multimodal analgesia (MMA) and group B subjected to(ESPB).
Intraoperative, Post Anaesthesia Care Unit and postoperative haemodynamics, postoperative VAS score, first time of postoperative analgesic request, total amount of postoperative analgesia, time needed for postoperative mobilization and side effects of study procedures were evaluated.
In our study there was significant difference between the two groups as regards VAS score, total amount of analgesia, first time post operative analgesia and time needed for mobilization.
In conclusion, the study showing the analgesic efficacy of Erector Spinae Block (ESPB) for postoperative pain management in patients undergoing laparoscopic cholecystectomy by comparing the group received (ESPB) Vs the group received (MMA), found ESBP technique provided pain relief, with significant differences in pain scores, total analgesic requirements, time needed for mobilization or the first time postoperative analgesia.
These results suggest that ESPB can be effective option for postoperative pain management in laparoscopic cholecystectomy, allowing healthcare providers and patients to choose the most suitable technique based on individual preferences and clinical considerations. However, further research with larger sample sizes and multicentric studies would be valuable to confirm these findings and explore potential variations in different patient populations or surgical settings.