Analgesic Efficacy of Quadratus Lumborum Block Against Erector Spinae Plane Block in Laparoscopic Sleeve Gastrectomy: A Prospective Randomized Study | ||
| International Journal of Medical Arts | ||
| Article 17, Volume 7, Issue 4, April 2025, Pages 6235-6240 PDF (1.48 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2025.361842.2133 | ||
| Authors | ||
| Adel Ali Hassan* 1; Mohammad Elhossieny Mohammad Salama2; Hani Gharib Ali3; Hatem Mahmoud Elkenany4; Ahmed Mehrez Gad5; Tamer Ahmed Abdelmonem Abdelsalam3 | ||
| 1Department of Anesthesia, Intensive Care, and Pain Management, Faculty of Medicine, Port Said University, Port Said, Egypt. | ||
| 2Department of Anesthesia and Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. | ||
| 33 Department of Anesthesia, Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt. | ||
| 4Department of Anesthesia and Critical Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 55 Department of General, gastrointestinal and Hepatobiliary Surgery Faculty of Medicine, Delta University for Science and Technology, Gamasa, Egypt. | ||
| Abstract | ||
| Background: Laparoscopic sleeve gastrectomy is a very frequent surgical procedure with notable postoperative pain and discomfort. Both QLB and ESPB techniques have somatic and visceral analgesia. These interventions could be integrated into a multimodal analgesia strategy in sleeve gastrectomy surgeries. Objective: This study aimed to assess the postoperative analgesic efficacy of quadratus Lumborum block against erector spinae plane block in sleeve gastrectomy operations. Patients and Methods: This randomized prospective experiment had 92 people who were randomly assigned to have elective sleeve gastrectomy. They were randomly assigned to two groups of equivalent sizes [46 patients in each]. The initial group received QLB. The second group received ESPB. Results: The findings revealed no statistically significant difference in postoperative morphine consumption over a 24-hour period between the two groups [5.35 ± 2.19 mg in QLB versus 5.48 ± 2.17 mg in ESPB, p = 0.775], as well as in postoperative VAS scores and the timing of the initial request for rescue analgesia. Both techniques alleviated the stress response during trocar insertion and abdominal insufflation. Conclusion: The Quadratus Lumborum block [QLB] and Erector Spinae Plane block [ESPB] can be employed to reduce postoperative pain in sleeve gastrectomy surgeries, as they efficiently address both somatic and visceral pain components. | ||
| Keywords | ||
| Quadratus Lumborum Block; Erector Spinae Plane Block; Sleeve Gastrectomy | ||
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