Abstract:

In laparoscopic surgeons, regional techniques play an important role in the multimodal approach applied in postoperative pain management. In this study, we aimed at retrospective assessing the effectiveness of the Transvers Abdominis Plane (TAP) block in postoperative pain management in laparoscopic nefrectomies. Anesthesia records of 50 phenomena given IV morphine with patient-controlled analgesia (HKA) for postoperative analgesia were studied. Patients who were applied TAP block (Group TAP, n=25) and not applied (Group Control, n=25) before anesthesia in the operation room were divided into two groups. It was found that the introperative desflored MAK (minimum alveol concentration) values and fentanyl consumption were significantly low in the TAP Group (p<0,001). Postoperative pain scores (VAS 0-10) (0. dk, 30. dk, 2.sa, 4.sa, 8.sa and 12.sa) and postoperative HKA methods have found that morphine consumption is significantly low in Group TAP (p<0,001). The first time of use of morphine with HKA was found to be shorter in the group control. by p<0,001. In the control group of side effects associated with opioids such as discomfort and hypertension, it was found to be more frequent than the TAP group (p<0,001). It was found that the patient’s satisfaction in the group TAP was higher (p<0,001). As a result, the application of TAP blocks in addition to general anesthesia in the preoperative period in cases that will be undergoing laparoscopic nefrectomy surgery provides a better postoperative pain management by reducing the intracurricular anesthesia and analgesic consumption.

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