Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3629
Revised: April 21, 2024
Accepted: May 11, 2024
Published online: June 26, 2024
Processing time: 87 Days and 23.9 Hours
The midpoint transverse process to pleura (MTP) block, a novel technique for thoracic paravertebral block (TPVB), was first employed in laparoscopic renal cyst decortication.
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.
MTP block was effective technique for providing postoperative analgesia for patients undergoing laparoscopic renal cyst decortication.
Core Tip: In this study, we successfully implemented midpoint transverse process to pleura (MTP) block for postoperative analgesia in two patients undergoing laparoscopic renal 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. In summary, MTP block was effective technique for providing postoperative analgesia for patients undergoing laparoscopic renal cyst decortication.