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Evaluation of the Effect of Erector Spinae Plane Block in Patients Undergoing Belt Lipectomy Surgery

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  • Body Contouring
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Abstract

Background

The interest in and demand for post-bariatric surgery have increased along with the increase in obesity surgery. Belt lipectomy, during which a circular correction is made in the center of the trunk, is the most commonly performed among these surgical techniques. Postoperative pain is an important problem due to the size of the surgical site and stretched closure. In this study, it was aimed to evaluate the intraoperative and postoperative narcotic analgesic consumption, postoperative analgesic requirement, postoperative visual analog scale (VAS) scores, postoperative nausea and vomiting (PONV), and the first mobilization time in patients with and without erector spinae plane block (ESPB).

Methods

The files of patients who had undergone belt lipectomy between 2016 and 2019 in our hospital were retrospectively reviewed. Patients who received ESPB were called group 1, and those who did not undergo ESPB were called group 2. Their demographic characteristics, intraoperative and postoperative narcotic and non-narcotic analgesic consumption, VAS scores, PONV, and the first mobilization times were recorded.

Results

The files of a total of 51 patients, including 23 patients in group 1 and 28 patients in group 2, were reviewed. It was determined that intraoperative and postoperative narcotic analgesic consumption (p < 0.005), PONV (p < 0.005), and the first mobilization time (p < 0.005) were significantly lower in group 1 compared with group 2.

Conclusion

The use of the ESP block in belt lipectomy surgeries significantly reduces intraoperative and postoperative narcotic analgesic consumption and pain scores.

Level of Evidence IV

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Funding

There was no funding from either public, private or third sector sources.

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Authors and Affiliations

  1. Department of Anaesthesiology and Reanimation, Fırat University School of Medicine, Elazig, Turkey

    Aysun Yıldız Altun, İsmail Demirel, Esef Bolat, Sibel Özcan, Ahmet Aksu, Ahmet Deniz & Azize Beştaş

  2. Department of Plastic and Reconstructive Surgery, Fırat University School of Medicine, Elazig, Turkey

    Serdar Altun

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  1. Aysun Yıldız Altun
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  2. İsmail Demirel
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  3. Esef Bolat
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  4. Serdar Altun
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  5. Sibel Özcan
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  6. Ahmet Aksu
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  7. Ahmet Deniz
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  8. Azize Beştaş
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Correspondence to Aysun Yıldız Altun.

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The authors declare that they have no conflict of interest. None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Yıldız Altun, A., Demirel, İ., Bolat, E. et al. Evaluation of the Effect of Erector Spinae Plane Block in Patients Undergoing Belt Lipectomy Surgery. Aesth Plast Surg 44, 2137–2142 (2020). https://doi.org/10.1007/s00266-020-01854-4

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  • DOI: https://doi.org/10.1007/s00266-020-01854-4

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