Subcostal Transversus Abdominis Plane Block for Laparoscopic Sleeve Gastrectomy, Is It Worth the Time?

  • Mümin CoşkunEmail author
  • Samet Yardimci
  • Mustafa Kemal Arslantaş
  • Gülbin Töre Altun
  • Tevfik Kıvılcım Uprak
  • Yalçın Burak Kara
  • Asim Cingi
Original Contributions



Obesity is a complex and multifactorial disease whose incidence has increased, making it a serious public health issue. Laparoscopic sleeve gastrectomy (LSG) is one of the most common surgical procedures that is chosen for bariatric surgery. Decreasing postoperative pain in these patients which will increase patients’ compliance and quality of life will lead to better surgical results. This study aims to compare the effectiveness of trocar site infiltration versus bilateral subcostal transversus abdominis plane block (TAP) in controlling postoperative pain in patients.


Forty-five consecutive patients who have undergone LSG in xxx General Surgery Department have been enrolled in the study. Patients were divided into two groups according to the surgeon’s choice. The first group underwent TAP block, while the second group underwent trocar site infiltration. Patients’ pain was recorded via visual analogue scale (VAS) in postoperative periods.


Twenty-nine female (69%) and 13 (31%) male patients were included in the study. Median age was 41 (18–58) and median BMI was 48 (41.1–68). When the VAS values were compared, in the TAPB group, 6th hour resting and coughing pain was statistically significantly less. Other VAS values measured while resting, coughing, and post-mobilization did not show significant differences. There were no significant differences between the groups’ tramadol use.


After LSG, TAP block and trocar site infiltration yield similar pain control. Due to the faster application and fewer side effects, we concluded that trocar site infiltration should be the intervention of choice in controlling postoperative pain in LSG.


Bariatric surgery Obesity Postoperative pain TAP block LSG 


Compliance with Ethical Standards

Ethical committee approval was obtained before the study, and informed consent was provided from all of the patients.

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.School of Medicine, General Surgery Department Fevzi Çakmak MahMarmara UniversityİstanbulTurkey
  2. 2.Medical Park Hospital General Surgery Department Fevzi Çakmak MahallesiİstanbulTurkey
  3. 3.School of Medicine, Anesthesiology Department Fevzi Çakmak MahMarmara UniversityİstanbulTurkey

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