Anterior Abdominal Blocks for Postoperative Pain Control in Obese Patients

Anterior Abdominal Blocks for Postoperative Pain Control in Obese Patients Undergoing Major Gynecological Surgery: Surgical Transversus Abdominis Plane Block Versus Surgical Rectus Sheath Block

The purpose of this study is to compare between two surgical techniques for anterior abdominal wall blocks in obese patients Undergoing Major Gynecological Surgery: Surgical Transversus Abdominis Plane [TAP] block versus Rectus Sheath block as regards the efficacy and adverse effects

Inclusion Criteria:

• female patients
• undergoing major gynecological surgery with supraumbilical midline incision the first time
• Body mass index (BMI) more than 40.

Exclusion Criteria:

• patient refusal to participate in the study,
• reoperation,
• addiction
• alcohol abuse
• hypersensitivity or allergy to the study drugs