Camera-Guided versus Ultrasound- Guided Transversus Abdominis Plane Block following Laparoscopic Surgeries: A Retrospective Study

Authors

Mohammed Abdo Etman, General surgery Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.Follow
Alaa Abd ElAZeem Elsisi, General surgery Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.
Ayman Ahmad Albatanony, General surgery Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.
Wafiya Mahdy, Anaesthesia Department, Intensive Care & Pain Management, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Abstract

Objectives: The primary objective was to compare the effectiveness of Laparoscopic Camera-Guided Transversus Abdominis Plane (LAP-TAP) block with Ultrasound- Guided Transversus Abdominis Plane (US-TAP) block. Visual Analog Scale (VAS) was used to measure pain alleviation. The length of hospitalization (LOS), the operation length, analgesics need, and patient satisfaction were secondary outcomes. Background: Achieving effective postoperative pain control remains a significant challenge and is crucial for promoting quick recovery and ensuring patient satisfaction. The US-TAP block is an _established technique for postoperative pain, while LAP-TAP method represents an emerging alternative worth exploring. Patients and Methods: In this retrospective analysis, 90 laparoscopic procedures’ patients were examined. Whether had US-TAP block or LAP-TAP block. Each group was given 25 milliliters of a 0.25% bupivacaine solution with 1:200,000 epinephrine. Results: The LAP-TAP group had significant shorter operating room times comparing the US-TAP group (131.36 ± 50.04 minutes vs. 151.2 ± 49.38 minutes, p=0.043). Analgesic consumption was comparable in both groups. Pain scores were similar at most time. However, at 6 hours postoperatively (D0), the LAP-TAP group showed slightly lower pain scores (2.89 ± 1.21 vs. 3.20 ± 1.46, p=0.294), and at 12 hours, the difference was significant statistically (2.93 ± 0.72 vs. 3.33 ± 1.11, p=0.029). No significant differences for pain scores were observed on postoperative days 1 and 2. Conclusion: After laparoscopic procedures, both LAP-TAP and US-TAP blocks offer equivalent recovery results and efficient postoperative pain management. On the other hand, LAP-TAP might have benefit of shorter surgical times.

Subject Area

Surgery

Article Type

Original Study

Recommended Citation

Etman, Mohammed Abdo; Elsisi, Alaa Abd ElAZeem; Albatanony, Ayman Ahmad; and Mahdy, Wafiya (2025) "Camera-Guided versus Ultrasound- Guided Transversus Abdominis Plane Block following Laparoscopic Surgeries: A Retrospective Study," Menoufia Medical Journal: Vol. 38: Iss. 2, Article 4.
DOI: https://doi.org/10.59204/2314-6788.3354

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