Transversus Abdominis Plane Block (TAP) Versus Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) in Laparoscopic Gynecologic Surgeries

Transversus Abdominis Plane Block (TAP) Versus Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) in Laparoscopic Gynecologic Surgeries

Although laparoscopic techniques are considered minimally invasive surgical procedures with lower perioperative pain scores compared to open surgeries, they are still associated with significant levels of pain. This study aims to investigate the analgesic effectiveness of two routinely performed regional analgesic techniques in our clinic-ultrasound-guided classic bilateral TAP block and ultrasound-guided bilateral M-TAPA block-in patients undergoing laparoscopic gyneco-oncologic surgery (LGOS), as well as their effects on intraoperative opioid consumption.

Inclusion Criteria:Female patients aged between 18 and 80 years, classified as ASA physical status I to III, undergoing laparoscopic gynecologic surgery under general anesthesia -

Exclusion Criteria:Coagulopathy

Neuropathy

Chronic analgesic therapy

Severe cardiopulmonary disease

Uncontrolled diabetes mellitus (HbA1c > 8%)

Severe renal or hepatic failure

Pregnancy or lactation

Body mass index (BMI) greater than 35 kg/m²

Local infection at the injection site

Inability to comprehend pain scores or cooperate (e.g., Alzheimer's disease, mental retardation)

Allergy to local anesthetic agents

Refusal to participate in the study

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