Ultrasound-Guided Quadratus Lumborum Block Using Bupivacaine versus Bupivacaine-Dexamethasone for Postoperative Analgesia in Laparoscopic Cholecystectomy | ||||
| Minia Journal of Medical Research | ||||
| Article 21, Volume 30, Issue 3, July 2019, Page 109-112 PDF (284.99 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.221881 | ||||
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| Authors | ||||
| Nagy S. Aly; Haidy S. Mansour; Mohamed Adel Abd Elrahmann Ahmed | ||||
| Department of Anasethia, El-Minia Faculty of Medicine | ||||
| Abstract | ||||
| Introduction: Laparoscopic cholecystectomy (LC) is a proven, gold standard surgical procedure for management of gallbladder stones. Patients and Methods: After ethical committee approval and written informed consent was obtained from all patients, this prospective randomized double blinded controlled study was carried out at El-Minia University Hospital during the period from March 2018 to December 2018. A total of 90 patients of either sex, their age ranged from 18-60 years ,American society of anesthesiologists class I or II were scheduled for elective laparoscopic cholecystectomy surgery under general anesthesia. Results: A total of 100 patients were enrolled in this study, 10 patients refused to participate, five patients (two patients in group D and three patients in group B) were excluded from study due to conversion of the operation into open cholecystectoy and replaced by other patients, 90 patients were randomized into three groups (n=30). Discussion: Laparoscopic cholecystectomy is gold standard surgery for symptomatic gall stone disease which is the commonest disease needs surgical management. Laparoscopic cholecystectomy offers various advantages over open cholecystectomy like short duration of hospital stay, better recovery, lesser morbidities and less postoperative pain. Recommendation: Based on the current study, Quadratus lumborum block is recommended as effective,safe and easy technique for post-operative analgesia in laparoscopic cholecystectomy.Further studies probably are required on a larger sample size to confirm our results. Future studies may be needed to assess pain beyond 24 hours | ||||
| Keywords | ||||
| Laparoscopic cholecystectomy; gallbladder stones | ||||
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