Midpoint Transverse Process to Pleura Block for Postoperative Analgesia Following Laparoscopic Renal Cyst Decortication: Two Case Reports

Overview

Journal World J Clin Cases

Publisher Baishideng Publishing Group

Specialty General Medicine

Date 2024 Jul 10

PMID 38983401

Authors

Wei-Jie He

Wen-Xing Xu

Xu-Dong Zhang

Yue Chen

Shu-Ying He

Xian-Qin Wei

Xiao-Lan Huang

Affiliations

Soon will be listed here.

Abstract

Background: The midpoint transverse process to pleura (MTP) block, a novel technique for thoracic paravertebral block (TPVB), was first employed in laparoscopic renal cyst decortication.

Case Summary: Thoracic paravertebral nerve block is frequently employed for perioperative analgesia during laparoscopic cyst decortication. To address safety concerns associated with TPVBs, we administered MTP blocks in two patients prior to administering general anesthesia for laparoscopic cyst decortication. The MTP block was performed at the T9 level under ultrasound guidance, with 20 mL of 0.5% ropivacaine injected. Reduced sensation to cold and pinprick was observed from the T8 to T11 dermatome levels. Immediately postoperative Numeric Pain Rating Scale scores were 0/10 at rest and on movement, with none exceeding a mean 24 h numeric rating scale > 3.

Conclusion: MTP block was effective technique for providing postoperative analgesia for patients undergoing laparoscopic renal cyst decortication.

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