, Original

Analgesic Effect of Ultrasound-Guided Erector Spinae Plane Block versus External Oblique Intercostal Plane Block in Patients Undergoing Laparoscopic Cholecystectomy: A Randomized Controlled Trial

Original
Published 2025-12-15
Wesameldin A. Sultan
faculty of medicine, menofia university
Ahmed M Helwa
Faculty of Medicine, Menoufia University, Menoufia, Egypt
Mohamed A Dawoud
National Liver Institute, Menoufia University, Menoufia, Egypt
Yasmin A Kamel
National Liver Institute, Menoufia University, Menoufia, Egypt
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Keywords

external oblique intercostal block
erector spinae block
laparoscopic cholecystectomy

Abstract

Background: Laparoscopic cholecystectomy (LC) is considered one of the most common procedures globally. The associated postoperative pain is still a crucial problem after this procedure. We aimed to evaluate the analgesia of bilateral external oblique intercostal (EOI) versus bilateral erector spinae plane blocks effect in cases undergoing LC. Methods: A prospective randomized double-blind controlled study done on 93 cases who were listed for elective LC. Cases were randomized into three equal groups. Group A (ESP) had ultrasound (US) guided bilateral erector spinae plane block. Group B (EOI) had US guided bilateral EOI plane block. Group C (Control) had our institute’s standard analgesia plan with no block. Results: A significant difference was indicated between group A and B contrasted to group C regarding MAC consumption, intraoperative fentanyl consumption, time for first call of analgesia and post-operative 24 hours nalbuphine consumption (p-value <0.05). However, group A showed a significant greater time for first call of analgesia and lower 24 hours nalbuphine consumption than group B. Additionally, no significant difference was indicated between studied groups regarding nausea, vomiting, hematoma, and allergy (p-value ˃0.05). Conclusion: US-ESP block for LC supplies a better postoperative analgesia quality and longer duration, and reducing the postoperative analgesic consumption when contrasted to EOI plane block.
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