Abstract
BackgroundUltrasound-guided erector spinae plane block has been reported to reduce postoperative pain following a laparoscopic surgery, which is one of the most common abdominal surgeries. The case reports and randomized controlled trials published previously mostly used bilateral erector spinae plane block; however, we report a case in which a unilateral erector spinae plane block was performed.Case presentationA 34-year-old male patient who underwent laparoscopic cholecystectomy was scheduled for a unilateral erector spinae plane block. The block was performed preoperatively, followed by the induction of general anesthesia.ConclusionsThe patient was comfortable and had a visual analog scale score of 2 for 12 h. Thus, we report successful pain management with the unilateral erector spinae plane block; however, more studies are needed for conclusive information.
Highlights
Ultrasound-guided erector spinae plane block has been reported to reduce postoperative pain following a laparoscopic surgery, which is one of the most common abdominal surgeries
We showed that a unilateral erector spinae plane (ESP) block helps in the successful management of postoperative pain after laparoscopic cholecystectomy
Laparoscopic cholecystectomy was performed with four trocar entry points
Summary
The gold standard for surgical treatment of cholelithiasis is laparoscopic cholecystectomy, which is one of the most common abdominal surgeries (Agresta et al, 2015; Csikesz et al, 2010). Prolonged postoperative pain is the most common complaint of patients, and it increases the duration and cost of hospitalization (Alper et al, 2014). We showed that a unilateral ESP block helps in the successful management of postoperative pain after laparoscopic cholecystectomy. Case presentation A 34-year-old male patient, weighing 65 kg, scheduled to undergo laparoscopic cholecystectomy in the general surgery clinic of a state hospital, was evaluated. The probe was advanced 3 cm to the right lateral direction and rotated 90 degrees, and the transverse processes were determined (Fig. 1). The needle tip was continuously advanced toward the transverse process (Fig. 2). At the end of the surgery, the patient was awakened and taken to the postanesthesia care unit (PACU). After 12 h, the VAS score increased to 4, and additional analgesia was necessitated
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