Home > Journals > Indian Journal of Anesthesia and Analgesia

Indian Journal of Anesthesia and Analgesia

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Comparing the Postoperative Analgesic Effect of Subcostal Transverse Abdominis Plane Block and Intraperitoneal Installation using Ropivacaine in Laparoscopic Cholecystectomy Patients

Satish Kumar MN , Saraswathi Nagappa1 , Satish Kumar MN2 , Sandhya K3 , Raghavendra Rao RS4

Author Information

Licence:



Indian Journal of Anesthesia and Analgesia 6(3):p 769-776, May-June 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6319.11

How Cite This Article:

Saraswathi Nagappa, Satish Kumar MN, Sandhya K et al. Comparing the Postoperative Analgesic Effect of Subcostal Transverse Abdominis Plane Block and Intraperitoneal Installation Using Ropivacaine in Laparoscopic Cholecystectomy Patients. Indian J Anesth Analg. 2019;6(3):769-775.

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

 Background: Laparoscopic cholecystectomy is one of the most common ambulatory elective procedures. Surgical pain derives significantly from the incisions made in the anterior abdominal wall. Nerve supplying the anterior abdominal wall are derived from T6-L1 afferent nerve which course through the neurofascial plane between the internal oblique and transversus abdominis muscle. The subcostal transverse abdominis plane (TAP) block is better suited for upper abdominal surgery [T7-T11] in relieving postoperative pain. Materials and Methods: 60 patients were randomly allocated into any one of two groups of 30 patients each, by means of computer-generated randomization. Group A patients received bilateral subcoastal TAP block with Ropivacaine 0.25% 40 ml injected under ultrasound guidance. Group B patients received intraperitoneal installation of Ropivacaine 0.25% 40 ml through laparoscopic instrument before laparoscopic port closure. Results: Resting VAS scores were significantly lower in group A than B at 4 hr (p=0.003), 8 hr (p=0.001), 12 hr (p=0.001) and 24 hr (0.001) after the operation. Deep inspiration VAS scores were significantly lower in group A than B at 4 hr (p=0.003), 8 hr (p=0.001), 12 hr (p=0.001) and 24 hr (<0.001) after the operation. Both static and dynamic pain were accompanied by lower analgesic requirement in the subcostal TAP block. Conclusion: Ultrasound guided subcostal TAP block is one of the most effective supplemental techniques as part of the multimodal post-operative analgesic regimen.

References

No records found.


About this article

Cite this article

Saraswathi Nagappa, Satish Kumar MN, Sandhya K et al. Comparing the Postoperative Analgesic Effect of Subcostal Transverse Abdominis Plane Block and Intraperitoneal Installation Using Ropivacaine in Laparoscopic Cholecystectomy Patients. Indian J Anesth Analg. 2019;6(3):769-775.

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6319.11

Keywords

Subcostal block; Analgesia; Intraperitoneal; Laproscopy; Ropivacaine.

Article Level Metrics

Last Updated

Monday 13 July 2026, 20:06:50 (IST)

5660

Accesses

3
679
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share