Seminar In Medicine, 14.02.2019, Prof. Dr. Yavuz Gürkan

Author: KUSOM
Time: 14:00
Location: MED 176



Thursday, February 14th,

Speaker         : Prof. Dr. Yavuz Gürkan, Kocaeli University Hospital, Department of 
Anesthesiology and Reanimation

Title               : New Blocks for Abdominal Surgery

 Time              : 14.00 (Refreshments will be served at 13:45)

Place              : MED 176

TelePresence   : AH 5th floor Chief Medical Officer / KUH 9th floor Meeting Room



Anesthesiologists can let surgery be done under regional anesthesia for upper and lower extremity surgeries. Spinal and epidural anesthesia techniques are widely used for abdominal and obstetric surgeries.

Widespread use of ultrasonography in regional anaesthesia especially in the last 10 years, has both increased block success and improved patient safety. Another benefit of sono-visualization of anatomy relevant to anesthesiologists was the introduction of new blocks into clinical practice. New blocks such as transversus abdominus, quadratus lumborum, pectoral blocks and erector spinae plane blocks which can also be called interfacial approaches, have become subjects of clinical research and practice.

These new blocks allow us to block pain transmission for both thoracic and abdominal surgeries. Although these blocks often don’t cover whole surgical area, combination of regional and general anesthesia decrease the use of opioids, allow early mobilisation and early discharge from hospital. Furthermore, regional anesthesia performances could prevent the development of chronic postsurgical pain.

Using multimodal analgesia application of opioids, non-steroid anti-inflammatory agents and, if appropriate, regional anesthesia methods in postoperative pain treatment is very important in terms of efficient postoperative analgesia, effective suppression of surgical stress and decreasing the incidence of chronic pain.

We were lucky enough to perform some of the early clinical studies and shared our experiences as case reports too. Yet further prospective randomised controlled studies are still needed to have reliable answers to clinical questions.