Erector Spinae Plane Block and its Impact on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Double-Blind Randomized Control Trial - Takeaways - MDSpire
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The Effect of Erector Spinae Plane Block on Diaphragmatic Function After Laparoscopic Sleeve Gastrectomy in Patients with Morbid Obesity: A Double-Blind Randomized Controlled Study

  • By

  • Mina Adolf Helmy

  • Mohamed Saber Mostafa

  • Arsany Talaat Saber

  • Mai Ahmed Ali

  • Lydia Magdy Milad

  • November 4, 2025

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  • 1

    Class III obesity poses significant health risks and is associated with postoperative complications, including diaphragmatic dysfunction after laparoscopic sleeve gastrectomy.

  • 2

    The erector spinae plane block (ESPB) may reduce the incidence of postoperative diaphragmatic dysfunction in morbidly obese patients undergoing laparoscopic surgery.

  • 3

    This study is the first randomized controlled trial to investigate the effects of ESPB on diaphragmatic function in patients with class III obesity.

  • 4

    Diaphragmatic excursion was measured using ultrasound, with dysfunction defined as an excursion of less than 10 mm two hours postoperatively.

  • 5

    The trial included 81 participants, randomly assigned to either the control or ESPB group, with outcomes assessed through pulmonary function tests and pain scores.

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