Preperitoneal analgesia under direct visualization: laparoscopic-guided deep rectus sheath block improves postoperative pain control after laparoscopic cholecystectomy: a randomized controlled trial

By
Ali Sait Kavakli
Mehmet Abdussamet Bozkurt
Musa Diri
Taylan Sahin
Umit Koc
Zeynep Su Kardelen Ipek
Ares Cekem
June 16, 2026
0 min

Surgical Endoscopy

Objective:

To evaluate whether laparoscopically guided deep rectus sheath (preperitoneal) block reduces postoperative opioid consumption and improves early postoperative pain control in patients undergoing elective laparoscopic cholecystectomy.

Key Findings:

Laparoscopic-guided deep rectus sheath block may reduce postoperative opioid consumption.
Improved early postoperative pain control was observed in the intervention group compared to standard multimodal analgesia.

Interpretation:

Limitations:

Evidence supporting deep RSB or preperitoneal approaches is limited and primarily based on case reports or small series.
The study's findings may not be generalizable to all patient populations due to specific inclusion and exclusion criteria.

Preperitoneal analgesia under direct visualization: laparoscopic-guided deep rectus sheath block improves postoperative pain control after laparoscopic cholecystectomy: a randomized controlled trial

Objective:

Key Findings:

Interpretation:

Limitations:

Conclusion:

Original Source(s)

Preperitoneal analgesia under direct visualization: laparoscopic-guided deep rectus sheath block improves postoperative pain control after laparoscopic cholecystectomy: a randomized controlled trial

Related Content

Decoding patient preferences: key drivers in selecting thyroid cancer surgery- a discrete choice experiment

Baptist Health Orthopedic Care Physicians Share Expertise at Florida Orthopaedic Society Annual Scientific Meeting

Robust quantification of ICG fluorescence perfusion in neonatal bowel surgery via deep point tracking