Overview
This investigation aims to assess the efficacy of M-TAPA in children undergoing laparoscopic abdominal surgery.
Sixty pediatric patients undergoing laparoscopic abdominal surgery under general anesthesia will be enrolled in this single-center study. Preoperatively, participants will be randomly assigned to receive either port-site local anesthetic infiltration or M-TAPA.
Description
This investigation aims to assess the efficacy of M-TAPA in children undergoing laparoscopic abdominal surgery.
Sixty pediatric patients undergoing laparoscopic abdominal surgery under general anesthesia will be enrolled in this single-center study. Preoperatively, participants will be randomly assigned to a port site local anesthetic infiltration. or M-TAPA.
- port-site local anesthetic infiltration Before the skin incision, the surgeon will inject 0.17 mL/kg of 0.25% bupivacaine (up to 2 mg/kg) via infiltration into the skin, subcutaneous tissue, and muscle fascia at the three laparoscopic ports.
- M-TAPA. Before skin incision, Ultrasound will be used to perform bilateral M-TAPA.0.25 mL/kg of 0.25% bupivacaine will be administered at each side.
Eligibility
Inclusion Criteria:
- Age (1-7) years.
- Both genders.
- American Society of Anaesthesiologists (ASA) - physical status I-II.
- Children undergoing elective laparoscopic abdominal surgery.
Exclusion Criteria:
- Parental refusal.
- Bleeding disorders with INR \> 1.5 and/or platelets \< 50 000.
- History of allergic reactions to local anesthetics.
- Rash or signs of infection at the injection site.
