Case report shows improved postoperative analgesia in morbidly obese patients, suggesting benefits of the rectointercostal fascial plane block.
We present a case demonstrating the use of the rectointercostal fascial plane block (RICPB) for postoperative analgesia in a morbidly obese patient undergoing laparoscopic gastric bypass. RICPB was easily applied under ultrasound guidance and provided effective pain control with minimal opioid use. Its anterior approach offers technical advantages in obese patients where traditional blocks are challenging. Given its simplicity, dermatomal coverage, and favorable outcomes in our case, RICPB appears to be a promising in bariatric surgery and merits further investigation.
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Mendes et al. (2025) studied this question.
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