FEASIBILITY AND ANALGESIC EFFICACY OF ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK IN LAPARSCOPIC BARIATRIC SURGERY

Abstract

Poorly controlled acute pain after laparoscopic abdominal surgery is associated with 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.

The analgesic regimen needs to meet the goals of providing safe, effective analgesia, with minimal side effects for the patient, together with inhibition of trauma –induced nociceptive impulses.

Many studies have been carried out trying to find a solution for these dilemma thus 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 which limits its use to specific cases.