The Effect of Local Anesthetic Infiltration or Erector Spina Plan Block on Stress Hormone Response

Laparoscopic cholecystectomy is one of the most common operations in abdominal surgery.Effective analgesia in the postoperative period; It is of great importance in terms of acceleration of recovery, prevention of atelectasis, reduction of endocrine and metabolic stress response, reduction of thromboembolic complications, protection of cognitive functions, prevention of chronic pain development, and reduction of hospital stay . Intravenous paracetamol, NSAID/cyclooxygenase-2 selective inhibitors, opioids, local anesthetic infiltration in the port area, intraperitoneal local anesthetic insufflation or plan blocks can be used in the treatment of postoperative pain after laparoscopic cholecystectomy. Operation, tissue trauma, anesthesia, drugs given to the patient, type of anesthesia, blood loss, temperature changes and pain cause postoperative stress response

Inclusion Criteria:who will undergo laparoscopic cholecystectomyASA (American Society of Anesthesiology) I-II18-65 age groupoperated between 08:00-12:00 in the morningExclusion Criteria:Pregnant,Emergency surgeryASA (American Society of Anesthesiology)III-IVPatients who did not consent to the study,History of local anesthetic allergy,Coagulation disorder,Morbid obesity (body mass index >40 kg/m²),Severe organ failure,Previous neurological deficit,Psychiatric disease,Patients with a history of chronic painWho were switched to the open procedure due to surgical complications during the operation