Pain control and analgesic requirements following laparoscopy-assisted transversus abdominus plane (TAP) block compared to port site infiltration post-paediatric laparoscopic appendicectomy. A Randomised controlled trial

Topic overview

Key takeaways

• L-TAP block and port site infiltration show equivalent analgesic efficacy in pediatric laparoscopic appendicectomy for uncomplicated appendicitis.
• Both techniques result in low opioid requirements and pain scores, with most patients managed on simple analgesia postoperatively.
• L-TAP is feasible, safe, and easy to learn, offering an alternative when ultrasound-guided blocks are unavailable.
• No significant difference in length of stay, morphine use, or VAS pain scores between L-TAP and port site infiltration groups.
• Uncomplicated pediatric appendicitis patients undergoing laparoscopy have inherently low postoperative pain requiring minimal opioid intervention.

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