Effects of RSB and TAPB on Postoperative Pain in Laparoscopic Cholecystectomy

Several reports have examined meth- ods to control pain after a laparoscopic cholecystec- tomy (LC) and have shown regional anesthesia to be an effective method. We had been performing LC using simple general anesthesia (G); however, in 2013, we adapted a rectus sheath block (RSB), and in 2014, we u...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 66; no. 2; p. 127
Main Authors Iwata, Masato, Kuzumoto, Naoya, Kmoto, Katsuhiro, Akasaki, Yuka, Morioka, Masayo, Nakayama, Kana, Matsuzawa, Nobuyoshi, Shimomura, Toshiyuki
Format Journal Article
LanguageJapanese
Published Japan 01.02.2017
Subjects
Adult
Aged
Anesthesia, Conduction
Anesthesia, General
Cholecystectomy, Laparoscopic
Female
Humans
Laparoscopy
Male
Middle Aged
Nerve Block - methods
Pain Management
Pain, Postoperative - therapy
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Summary:Several reports have examined meth- ods to control pain after a laparoscopic cholecystec- tomy (LC) and have shown regional anesthesia to be an effective method. We had been performing LC using simple general anesthesia (G); however, in 2013, we adapted a rectus sheath block (RSB), and in 2014, we used a combination of RSB and a subcostal transversus abdominis plane block (TAPB) on the right side. We report on the transition from G to regional anesthesia in LC and its effect on postoperative pain. We anesthetized three groups of patients undergoing LC. Group 1 received G (n =32) ; group 2 received RSB (n=28); and group 3 received a combination of RSB and TAPB (n=31). Patients used the numeric rating scale (NRS) to record their levels of postoperative pain, and the scores were compared for each group. No significant differences were noted in NRS scores between the G and RSB groups; however, the scores in the RSB group tended to be lower. NRS scores were significantly lower in the RSB-TAPB group than in both the RSB and G groups. This study showed that the combina- tion of RSB-TAPB effectively controlled pain after LC and lowered NRS scores.
ISSN:0021-4892