Comparison of ultrasound-guided TAPB and rectus sheath block combined with dexmedetomidine in patients undergoing transumbilical single-port laparoscopic surgery

Key Points

• To compare the effectiveness of ultrasound-guided rectus sheath block (RSB) with transversus abdominis plane block (TAPB) for managing post-operative pain in laparoscopic surgery.
• Utilized ultrasound guidance for RSB and TAPB administration.
• Administered dexmedetomidine in conjunction with RSB.
• Evaluated post-operative pain levels and need for additional analgesia.
• Measured impact on post-operative sleep and incidence of adverse reactions.
• RSB combined with dexmedetomidine significantly reduced post-operative pain compared to TAPB.
• Lowered requirement for additional analgesia was observed in the RSB group.
• RSB minimizes disruption to post-operative sleep.
• Fewer adverse reactions were reported with RSB compared to TAPB.