Modified Thoracoabdominal Nerves Block Through the Perichondrial Approach vs Subcostal Transversus Abdominis…

Randomized trialMedical science monitor : international medical journal of experimental and clinical research· Jul 2026

Modified Thoracoabdominal Nerves Block Through the Perichondrial Approach vs Subcostal Transversus Abdominis Plane Block for Postoperative Recovery After Laparoscopic Cholecystectomy: A Prospective, Randomized Clinical Trial.

Ahmet Kaciroglu, Eralp Cevikkalp, Mursel Ekinci … Abdulkadir Iskender

Pain MedicineRandomized trialTreatmentQ2IF 2.4

Modified thoracoabdominal nerves block reduced rescue pain medication need after laparoscopic cholecystectomy

Modified Thoracoabdominal Nerves Block Through the Perichondrial Approach vs Subcostal Transversus Abdominis Plane Block for Postoperative Recovery After Laparoscopic Cholecystectomy: A Prospective, Randomized Clinical Trial.

Ahmet Kaciroglu … Abdulkadir Iskender

Medical science monitor · Jul 2026 · Q2 in General Medicine

Background

This study compared the effects of ultrasound-guided modified thoracoabdominal nerves block through the perichondrial approach (M-TAPA) and subcostal transversus abdominis plane (transversus abdominis plane) block on postoperative recovery after laparoscopic cholecystectomy.

Methods

At the end of surgery, patients were randomly assigned to receive either ultrasound-guided subcostal transversus abdominis plane block (group T, n=30) or M-TAPA block (group M, n=30), with 20 mL of 0.25% bupivacaine administered on each side.

n = 30

Results

fewer patients needed extra pain-relief medicine after the modified nerve block than the standard block

M-TAPA

30%

Subcostal TAP

60%

More results

Primary outcome was postoperative recovery at 24 hours (Quality of Recovery-15 [QoR-15] questionnaire).

RESULTS The groups were comparable in age, height, weight, duration of surgery, and anesthesia-related variables (all P>0.05).

Twenty-four-hour QoR-15 scores were similar between groups (P>0.05).

More results

Likewise, NRS pain scores did not differ significantly between groups (P>0.05).

“

Conclusion

Nevertheless, significantly fewer patients in the M-TAPA group required rescue analgesia (30.0% vs 60.0%, P=0.020), although total rescue analgesic consumption was similar between the groups.

Modified Thoracoabdominal Nerves Block Through the Perichondrial Approach vs Subcostal Transversus Abdominis Plane Block for Postoperative Recovery After Laparoscopic Cholecystectomy: A Prospective, Randomized Clinical Trial.

Modified Thoracoabdominal Nerves Block Through the Perichondrial Approach vs Subcostal Transversus Abdominis Plane Block for Postoperative Recovery After Laparoscopic Cholecystectomy: A Prospective, Randomized Clinical Trial.

Related papers