Use of rectus sparing subcostal
incision was found more feasible in open cholecystectomy in terms of severity of postoperative pain as compared to rectus cutting incision.
(6.) Bhatia N, Arora S, Jyotsna W, Kaur G Comparison of posterior and subcostal
approaches to ultrasound-guided transverse abdominis plane block for postoperative analgesia in laparoscopic cholecystectomy.
In this report, the length of the subcostal
incision used was consistently 6 cm; however, in the literature the reported length of skin incision undertaken for MOC ranges from 3-8 cm.
Evaluation of the groups in terms of access site revealed that 103 (81.7%) patients in group 1 had subcostal
and 23 (18.3%) had intercostal access.
The following views are used to answer specific questions: Subcostal
and apical 4-chamber views
Physical examination revealed tenderness and defense in the right subcostal
region and the rebound was positive.
USG guided right sided subcostal
TAP block using 20 ml of 0.2% ropivacaine was given just after induction.
The heart was examined through the four chamber view on the both sides of subcostal
Pain was sharp, primarily located in the lower chest and subcostal
region left more than right, waxing and waning, nonradiating, and aggravates with certain nonspecific movements including forward lean.
Laparoscopic CBD exploration was done with 10 mm umbilical and epigastric ports followed by two small accessory subcostal
transversus abdominis plane (OSTAP) block is one of these methods [8, 9].