Pain Control After Laparoscopic Appendicectomy in Children
Study Overview
This study compares two methods of pain control after laparoscopic appendicectomy in children: Laparoscopic-assisted Transversus Abdominus Plane block (L-TAP) and port site infiltration (PSI). It aims to find out which method is more effective in reducing pain and hospital stay.
Key Findings
- Participants: 49 patients received PSI and 41 patients received L-TAP.
- Age: Average age was 11.3 years.
- Pain Relief: Both groups required similar amounts of morphine and clonidine for pain management.
- Hospital Stay: Patients in the L-TAP group stayed in the hospital for about 2 hours less than those in the PSI group.
- Pain Scores: No significant difference in pain levels between the two methods.
Conclusion
Both L-TAP and PSI are effective for pain control after laparoscopic appendicectomy in children. L-TAP is easy to perform and safe, making it a good option for pain management. We recommend including L-TAP in clinical guidelines, especially when ultrasound guidance is not available. Most children with uncomplicated appendicitis experience low pain levels and mainly need simple pain relief.
Clinical Implications
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