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Eurasian Journal of
Medicine and Oncology Preperitoneal infiltration after laparoscopic cholecystectomy

Finally, while complications associated with TAP block were Mohamed Said, Eman A. Salem, Tarek Abdelmonem
minimal in this study, it does not extensively address rare Abdelzaher, Warda Demerdash Khalifa Ali
but potentially severe risks, such as inadvertent organ injury. Investigation: Noha Mohamed Abdelwahab Elsaid, Ain
El-Marwa Abdelmonem Abdallah Hassan, Ahmed
To validate these preliminary findings and better
understand the comparative efficacy of these techniques, Mohamed Said, Doaa Mohamed Almonayery Ibrahim,
Marwa Ibrahim Eid, Hayam Shaaban Soliman Morsy
we recommend conducting larger, multicenter randomized Methodology: Mostafa R. Bakry, Noha Mohamed
controlled trials. Future studies should also explore long-
term outcomes, cost-effectiveness, and patient satisfaction Abdelwahab Elsaid, Ain EL-Marwa Abdelmonem
to provide more comprehensive clinical guidance. Abdallah, Ahmed Mohamed Said, Mayada Yahia
Elbohouty, Heba Atwa Ahmed Atwa, Gehan Abd
5. Conclusion Elrhman Eldesoky, Nahla Mohammed Eldeeb
Writing–original draft: Mostafa R. Bakry, Noha Mohamed
The findings establish that the TAP block is a more effective Abdelwahab Elsaid, Ain El-Marwa Abdelmonem
analgesic technique compared to preperitoneal infiltration Abdallah Hassan, Ahmed Mohamed Said
with bupivacaine for managing post-operative pain in Writing–review & editing: Mostafa R. Bakry, Noha

laparoscopic cholecystectomy. Patients receiving TAP Mohamed Abdelwahab Elsaid, Ain El-Marwa
block required fewer opioids, had delayed onset of rescue Abdelmonem Abdallah Hassan
analgesia, and reported lower pain scores at critical post-
operative intervals. These results underline the TAP block’s Ethics approval and consent to participate
potential to enhance patient recovery by minimizing This study was approved by the Institutional Review Board
opioid-related side effects and expediting discharge. The and the Ethical Committee of the Faculty of Medicine for
study highlights the need to integrate the TAP block into Girls, Al-Azhar University (Approval Number 1784/2023),
routine perioperative care for laparoscopic procedures to and additionally by the Institutional Review Board of Minia
improve pain control and patient outcomes. University Hospital, according to the WMA Declaration
Future research should focus on expanding the of Helsinki. Each participant was required to provide an
study to include larger and more diverse populations to informed written consent before enrollment.
validate these findings and assess their applicability to
other surgical contexts. Long-term studies are necessary Consent for publication
to explore the impact of these analgesic techniques on Each participant was required to provide verbal consent
chronic pain, quality of life, and recovery trajectories. before publication.
Moreover, conducting a cost-effectiveness analysis of TAP
block versus other analgesic methods would provide a Availability of data
comprehensive understanding of its economic and clinical The data used in the study are available from the
benefits. corresponding author upon reasonable request.
Acknowledgments References

None. 1. Molfino S, Botteri E, Baggi P, et al. Pain control in laparoscopic
surgery: A case-control study between transversus
Funding abdominis plane-block and trocar-site anesthesia. Updates
None. Surgery. 2019;71:717-722.
doi: 10.1007/s13304-018-00615-y
Conflict of interest
2. Suragul W, Tantawanit A, Rungsakulkij N, et al. Effect of
The authors have no conflicts of interest to declare. local anaesthetic infiltration on postoperative pain after
laparoscopic cholecystectomy: Randomized clinical trial.
Author contributions BJS Open. 2022;6(3):zrac066.

Conceptualization: Noha Mohamed Abdelwahab Elsaid, doi: 10.1093/bjsopen/zrac066
Ain EL-Marwa Abdelmonem Abdallah, Ahmed 3. Ali Esmail AM, Seleem TAE, Mohammad ES,
Mohamed Said, Mostafa Mohamed Elsayed, Nashwa El-Sayed MMM. Comparative Study between ultrasound
Mohammed Ibrahiem, Gihan Eissa Zahran guided quadratus lumborum block versus ultrasound guided
Formal analysis: Noha Mohamed Abdelwahab Elsaid, Ain transversus abdominis plane block for postoperative pain
El-Marwa Abdelmonem Abdallah Hassan, Ahmed relief in patients undergoing unilateral inguinal surgeries.

Volume 9 Issue 3 (2025) 285 doi: 10.36922/EJMO025180164