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Ultrasound-guided external oblique intercostal plane block versus subcostal transversus abdominis plane block for postoperative analgesia in living liver donors: A prospective randomized trial.
J Clin Anesth
September 2025
Department of General Surgery, Istinye University, Faculty of Medicine, Istanbul, Turkey.
Introduction: Pain relief provided by the transversus abdominis plane (TAP) block in individuals who have undergone living liver donation during the postoperative period has been demonstrated in previous studies. The external oblique intercostal plane (EOI) block is a recently introduced technique designed to provide analgesia for the anterolateral region of the upper abdominal wall. This study aims to evaluate and compare the efficacy of the external oblique intercostal plane (EOI) block and the subcostal TAP block in individuals who have undergone living liver donation.
View Article and Find Full Text PDFEfficacy of OSTAP, ESP block, trocar site local anesthetic injection in elective laparoscopic cholecystectomy: A randomized controlled trial.
Medicine (Baltimore)
August 2025
Department of Anesthesiology, Ankara Yildirim Beyazit University, Ankara, Turkey.
Background: Effective postoperative pain control remains a clinical challenge in laparoscopic cholecystectomy (LC). Regional anesthesia techniques such as the erector spinae plane (ESP) block and the oblique subcostal transversus abdominis plane (OSTAP) block have gained popularity as potential alternatives to traditional analgesic methods. This double-blind, randomized controlled trial aimed to compare the analgesic efficacy of ESP block, OSTAP block, and trocar site local anesthetic (LA) infiltration in terms of postoperative pain scores and opioid consumption in patients undergoing LC.
View Article and Find Full Text PDFComparative Evaluation of Analgesic Efficacy and Recovery Outcomes: Anterior Quadratus Lumborum Block at the Lateral Supra-Arcuate Ligament Versus Transversus Abdominis Plane Block in Laparoscopic Partial Hepatectomy.
Surg Laparosc Endosc Percutan Tech
July 2025
Department of Anesthesiology and Perioperative Medicine, The Second Affiliated Hospital of Anhui Medical University, Key Laboratory of Anesthesiology and Perioperative Medicine of Anhui Higher Education Institutes, Anhui Medical University, Hefei 230601, Anhui Province, China.
Objective: A comparative assessment of analgesic effectiveness and recovery quality between the anterior quadratus lumborum block at the lateral supra-arcuate ligament (QLB-LSAL) and the transversus abdominis plane block (TAPB) in patients undergoing laparoscopic partial hepatectomy (LPH).
Method: A total of 56 patients scheduled for LPH were randomly allocated to either the QLB-LSAL group or the TAPB group in a 1:1 ratio. Patients in the QLB-LSAL group received bilateral anterior quadratus lumborum block at the lateral supra-arcuate ligament, while those in the TAPB group received bilateral subcostal transversus abdominis plane block before surgery.
Comparison of postoperative analgesic effects of ultrasound-guided intercostal nerve block and transversus abdominis plane block in patients undergoing laparoscopic cholecystectomy: randomized clinical trial.
BJS Open
July 2025
Department of Anaesthesiology, Affiliated Hospital, North Sichuan Medical College, Nanchong, China.
Background: The aim of this study was to compare the postoperative analgesic effects of ultrasound-guided intercostal nerve block and transversus abdominis plane block in patients undergoing laparoscopic cholecystectomy.
Methods: Patients undergoing laparoscopic cholecystectomy for chronic cholecystitis with gallstones were randomly allocated to ultrasound-guided T7-11 intercostal nerve block or subcostal transversus abdominis plane block (both with 40 ml 0.3% ropivacaine).
Analgesia for living donor liver transplant: a systematic review of recent trials.
Curr Opin Anaesthesiol
August 2025
Department of Anesthesiology, Pain Medicine and Intensive Care Unit, Policlinico di Monza, Monza, Italy.
Purpose Of Review: The 2022 enhanced recovery after surgery guidelines for liver transplant surgery highlighted a scarcity of evidence concerning perioperative pain management, with a low quality of evidence in support of transversus abdominis plane (TAP) block. We conducted this review to investigate the available evidence published in the last 2 years, hoping to expand the current knowledge for optimal pain control following liver transplant surgery.
Recent Findings: Our findings suggest that bilateral erector spinae plane block, subcostal TAP block, and intrathecal morphine are viable new adjuncts to the current perioperative pain management strategies and merit further investigation.