The study was a randomized single blinded interventional study and conducted in R.G Kar Medical College and Hospital, Kolkata with the primary objective of comparing  the duration of analgesia in between GES (General anesthesia with ESPB) and SA group in terms of first dose of rescue analgesia and, secondary objective of observing perioperative hemodynamic changes, intraoperative blood loss , surgeons’ satisfaction and postoperative nausea,  vomiting in between these two groups. The study was done on a total 80 patients divided in two  groups( 40 patients in each group) in a span of one year.

ASA I & II patients and patients not having any major co-morbidity were included in the study. They were explained the process well & valid consent was taken . After all routine investigations, pre anesesthetic check up and overnight fasting GES group  were administered bilateral USG guided ESPB followed by GA and SA group were administered spinal anesthesia in sitting position. Intra-operative vitals (HR, SBP, DBP, MAP , SPO2) were recorded every 15 minutes interval. VAS score for pain  along with haemodynamic parameters were assessed at 1hr, 2 hr, 4 hr, 6 hr, 12 hr and 24 hr.postoperatively. All the patients were instructed to inform when VAS score for pain   > 4 then rescue analgesia  given with IV Tramadol at a dose of  2mg/kg  which were repeated every 6 hours until pain score becomes < 2.  Over the next 24 hr,  PONV was also  monitored. If nausea  scores were greater than 50, antiemetic therapy with  Inj Ondansetron 4 mg IV was administered which was repeated every 8 hours , if necessary , until vomiting ceased or nausea scores decreased to less than 20.  Surgeon’s satisfaction  using 5 point Likert scale and Blood loss using Boezzart’s scale were recorded after completion of surgery