TPTh 9.16 Transversus Abdominis Plane Block Versus Subcutaneous Infiltration with Local Anaesthetic in Laparoscopic Cholecystectomy

Clicks: 18
ID: 323882
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #405 of 432 articles by views in the british journal of surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Aims Transversus Abdominis Plane (TAP) block is a well-established regional anaesthesia technique for postoperative pain control after abdominal surgery. Ultrasound-guided TAP blocks effectively reduce pain after laparoscopic cholecystectomy. Laparoscopic-assisted TAP block, performed under direct surgical vision, provides an alternative without ultrasound. This study compared the postoperative analgesic efficacy of laparoscopic-assisted TAP block versus subcutaneous infiltration at port sites in laparoscopic cholecystectomy patients, including effects on mobility and quality of life. Methods This prospective, non-randomised, patient-blinded controlled study enrolled adult patients (≥16 years) undergoing elective laparoscopic cholecystectomy at Southend University Hospital. Exclusions included refusal of consent, chronic pain medication use, or relevant drug allergies. Patients received either laparoscopic-assisted TAP block (40 ml 0.25% levobupivacaine) without wound infiltration (intervention group) or subcutaneous local infiltration (SCI) at port sites (same dose/agent) without TAP block (control group). Results Twenty-five patients were included per group (total 50). Median age was 52.5 years, BMI 30 kg/m²; 13 males, 37 females. The SCI group was older (mean 58.2 vs. 48.2 years; p=0.036). No significant differences existed in gender, BMI, operative difficulty (Nasser score), mobility at 4/24 hours, or quality of life (poor/fair/good/excellent). Pain scores showed no differences at 4 hours (rest: 5.12 vs. 5.48, p=0.537; cough: 5.96 vs. 6.88, p=0.084) or 24 hours (rest: 4.68 vs. 4.64, p=0.944; cough: 5.56 vs. 6.60, p=0.068) between TAP and SCI groups. Conclusions Laparoscopic-assisted TAP block and local skin infiltration offered equivalent postoperative analgesia, mobility, and quality of life after laparoscopic cholecystectomy, with no significant differences.
Reference Key
openalex_W7172485235 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Abraham Ayantunde, Andrew Chiagozie Ekwesianya, Himadry Sarker, Abraham Jesudoss
Are you one of these authors? Claim your profile
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.530
URL
https://doi.org/10.1093/bjs/znag087.530
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.