Document Type : Original Article
Authors
1
Anesthesia and Surgical Intensive Care department, faculty of medicine, Mansoura University, Mansoura, Egypt
2
Anesthesiology, Surgical Intensive Care and Pain Management Department, Faculty of Medicine, Port Said University, Port Said, Egypt.
3
Anesthesiology, Surgical Intensive Care and Pain Management Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
4
anesthesia department ,mansoura faculty of medicine,Mansoura Univeristy
5
Anesthesia, Surgical Intensive Care, and Pain Management Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Abstract
Background: General anesthesia is the conventional anesthetic method for abdominoplasty; however, spinal anesthesia can be utilized successfully in abdominoplasty procedures that do not involve liposuction.
Aim of the Work: This study sought to assess the analgesic effectiveness of oblique subcostal transversus abdominis plane block [OSTAP block] administered immediately after giving spinal anesthesia in abdominoplasty, with an emphasis on extending postoperative analgesia and reducing the number of cases converted to general anesthesia.
Patients and Methods: Sixty-six patients were randomly selected to have elective abdominoplasty without liposuction. They were randomly allocated into two groups of comparable sizes, each comprising 33 patients. The first group received spinal anesthesia with no block. The second group received oblique subcostal TAP block just after giving spinal anesthesia.
Results: The findings indicated a significant difference between the two groups regarding postoperative analgesic consumption, the number of patients converted to general anesthesia, and the time of the initial request for rescue analgesia. No significant difference was seen between the groups for postoperative VAS scores and complications
Conclusion: We advocate the incorporation of oblique subcostal TAP block immediately after giving spinal anesthesia, since it yields superior postoperative analgesic results and reduces the number of patients requiring conversion to general anesthesia.
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