Pre-emptive Quadratus Lumborum Block for Laparoscopic Bariatric Surgery

Pre-emptive Quadratus Lumborum Block for Laparoscopic Bariatric Surgery.A Prospective Randomizes Controlled Study.

The purpose of this study was to determine the effectiveness of pre-emptive Quadratus lumborum block on intra, postoperative pain assessment and opioid requirements in laparoscopic bariatric procedures.

Inclusion Criteria:

Patients included in this study are

• Both genders
• Age between 18-50 years
• Those undergoing laparoscopic bariatric surgery (as laparoscopic sleeve gastrectomy or gastric bypass).
• BMI ≥ 35 Kg/m2 with comorbidity or ≥ 40 Kg/m2 without comorbidity.

Exclusion Criteria:

Patients excluded from this study were

• those with obstructive sleep apnoea and/or Pickwickian syndrome.
• if the laparoscopy procedure was converted to laparotomy.
• patients suffering from known coagulation defects.
• known hypersensitivity to bupivacaine, or those with contraindication to the use of NSAIDS.
• Presence of sepsis at the site of injection.