Overview
The goal of this randomized controlled trial is to compare laparoscopic guided peri-wound Transversus Abdominis Plane Block and bupivacaine versus local wound infiltration effect on reducing post-op opioid use in Laparoscopic Sleeve gastrectomy. The main questions it aims to answer are:
• Can laparoscopic guided peri-wound Transversus Abdominis Plane Block reduced post operative morphine usage when comparing with local wound port site infiltration.
Participants will be randomize into 2 group
- peri-wound Transversus Abdominis Plane Block
- local wound port site infiltration
Eligibility
Inclusion Criteria:
- patient undergoing LSG at Sringarind hospital as indicated by Thai guideline
Exclusion Criteria:
- Allergic/contraindicated to bupivacaine, morphine, fentanyl, NSAIDs or Nefopam
- Unable to describe pain score Opioid addict
- denied consent