LAUSR

To test the effectiveness of the laparoscopic control-assisted TAP Block technique. we performed an infiltration with 30 ml of 5% Ropivacaine, 5 ml in 3 punctures on each side of the abdomen. The transverse muscle is identified by laparoscopy, lateral to the semilunar line, 3 points are infiltrated with an intramuscular needle, visualizing the tip without crossing the peritoneum and withdrawing 2–3 mm until it is above the transverse muscle. TAP Block improves postoperative pain, requiring lower doses of opioids and allowing faster recovery. No significant differences are observed in the VAS scale compared to the ultrasound control technique, but it does take less time and avoids any type of visceral injury due to laparoscopic control. Laparoscopic Block TAP is equally effective in postoperative pain control as part of multimodal analgesia as performed under ultrasound control, with the advantages of reducing anesthetic time and minimizing the potential risk of visceral injury.