Comparison of Postoperative Analgesia in Erector Spinae Plane Block (ESPB) v/s Subcostal Transversus Abdominal Plane Block (STAP) in Adults Undergoing Laparoscopic Cholecystectomy.

Comparison Of Postoperative Analgesia In Landmark Guided Erector Spinae Plane Block And Subcostal Transversus Abdominis Plane Block In Laparoscopic Cholecystectomy; A Randomized Controlled Trial

Postoperative pain after laparoscopic cholecystectomy remains clinically relevant. This double-blinded randomized controlled trial compares the analgesic efficacy of landmark-guided Erector Spinae Plane Block (ESPB) and subcostal transversus abdominis plane (STAP) block in 60 adult patients. Postoperative pain will be evaluated using the Visual Analogue Scale at multiple time points, along with rescue analgesic requirements and time to first analgesic request, to assess the effectiveness of these techniques in resource-limited settings.

INCLUSION CRITERIA:

• Patients are both men and women.
• Patients aged 18 to 65.
• Patients are scheduled for a laparoscopic cholecystectomy.
• Patients with ASA Physical Status I or II. Finally, III.
• Give consent.

EXCLUSION CRITERIA:

• Hypersensitivity to local anesthesia.
• Infection at the block site.
• Coagulation disorders.
• BMI above 40kg/m2.
• Patients with pregnancy.
• Converted to open surgery.
• Drain placement.
• Neurological or psychiatric disorders that impair cooperation.
• Patients are unwilling to cooperate.