The Analgesic Efficacy of M-TAPA for Laparoscopic Abdominal Surgery in Children

This investigation aims to assess the efficacy of M-TAPA in children undergoing laparoscopic abdominal surgery. Sixty pediatric patients undergoing laparoscopic abdominal surgery under general anesthesia will be enrolled in this single-center study. Preoperatively, participants will be randomly assigned to receive either port-site local anesthetic infiltration or M-TAPA.

This investigation aims to assess the efficacy of M-TAPA in children undergoing laparoscopic abdominal surgery. Sixty pediatric patients undergoing laparoscopic abdominal surgery under general anesthesia will be enrolled in this single-center study. Preoperatively, participants will be randomly assigned to a port site local anesthetic infiltration. or M-TAPA. 1. port-site local anesthetic infiltration Before the skin incision, the surgeon will inject 0.17 mL/kg of 0.25% bupivacaine (up to 2 mg/kg) via infiltration into the skin, subcutaneous tissue, and muscle fascia at the three laparoscopic ports. 2. M-TAPA. Before skin incision, Ultrasound will be used to perform bilateral M-TAPA.0.25 mL/kg of 0.25% bupivacaine will be administered at each side.

Inclusion Criteria: * Age (1-7) years. * Both genders. * American Society of Anaesthesiologists (ASA) - physical status I-II. * Children undergoing elective laparoscopic abdominal surgery. Exclusion Criteria: * Parental refusal. * Bleeding disorders with INR \> 1.5 and/or platelets \< 50 000. * History of allergic reactions to local anesthetics. * Rash or signs of infection at the injection site.