He WJ, Xu WX, Zhang XD, Chen Y, He SY, Wei XQ, Huang XL. Midpoint transverse process to pleura block for postoperative analgesia following laparoscopic renal cyst decortication: Two case reports. World J Clin Cases 2024; 12(18): 3629-3635 [PMID: 38983401 DOI: 10.12998/wjcc.v12.i18.3629]
Corresponding Author of This Article
Xiao-Lan Huang, MBBS, Attending Doctor, Department of Ultrasound Medicine, Liuzhou People's Hospital affiliated to Guangxi Medical University, No. 8 Wenchang Road, Chengzhong District, Liuzhou 545000, Guangxi Zhuang Autonomous Region, China. m15277161801@163.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Wei-Jie He, Wen-Xing Xu, Xu-Dong Zhang, Yue Chen, Shu-Ying He, Xian-Qin Wei, Department of Anesthesiology, Liuzhou People's Hospital affiliated to Guangxi Medical University, Liuzhou 545000, Guangxi Zhuang Autonomous Region, China
Xiao-Lan Huang, Department of Ultrasound Medicine, Liuzhou People's Hospital affiliated to Guangxi Medical University, Liuzhou 545000, Guangxi Zhuang Autonomous Region, China
Author contributions: He WJ and Xu WX designed the report; He WJ, Chen Y, and Zhang XD gathered patient clinical data; Huang XL, He SY, and Wei XQ analyzed the data and wrote the paper. The paper has been reviewed and approved by all authors.
Supported bySelf-funded Research Projects of Guangxi Zhuang Autonomous Region Health Commission of China, No. Z20210063.
Informed consent statement: The patients' informed consent was obtained for the cases reported in this article.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Lan Huang, MBBS, Attending Doctor, Department of Ultrasound Medicine, Liuzhou People's Hospital affiliated to Guangxi Medical University, No. 8 Wenchang Road, Chengzhong District, Liuzhou 545000, Guangxi Zhuang Autonomous Region, China. m15277161801@163.com
Received: March 22, 2024 Revised: April 21, 2024 Accepted: May 11, 2024 Published online: June 26, 2024 Processing time: 87 Days and 23.9 Hours
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.
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.
