SciELO - Scientific Electronic Library Online

 
vol.68 número6Impacto de las filtraciones anastomóticas en cirugía colorrectalEspesor normal del músculo glúteo mayor en mujeres chilenas: Una guía para el aumento de glúteo con implantes índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

REYNA-SEPULVEDA, Francisco et al. Transversus abdominis laparoscopic plane block versus guided with ultrasound for the management of postoperative pain in patients with laparoscopic cholecystectomy. Rev Chil Cir [online]. 2016, vol.68, n.6, pp.422-426. ISSN 0718-4026.  http://dx.doi.org/10.1016/j.rchic.2016.05.011.

Background: The effectiveness of the analgesia is essential in the postoperative management, importance exists in finding regional anesthetic techniques in order to minimize the use of opioids and promote a better alternative to regional blocks. Two techniques exist for the abdominal plane block (APB), one guided by ultrasound (UB) and the laparoscopic (LB) approach no clear benefit exists from on or the other in laparoscopic cholecystectomy patients. Objective: Determine which method results with mayor benefits in postoperative pain. Material and methods: 45 patients were selected and divided in 3 groups, control, UB and LB. Results: Longer operating times (94 min) were found for the UB group, for the LB and control group similar times were found (74 and 70 min). Less postoperative pain was found in the APB groups compared to control, however this was not statistical significance. No complications were found in the procedures. Discussion: The main advantages of the LB is infiltration under direct vision, faster learning curve and better application times. Conclusions: Both APB showed to be effective methods in the management of postoperative pain in patients postoperated of laparoscopic cholecystectomy compared to intravenous analgesia.

Palabras clave : Abdominal plane block; Laparoscopic; Ultrasound; Laparoscopic cholecystectomy.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons