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Rev Esp Anestesiol Reanim. 2017 May;64(5):257-261. doi: 10.1016/j.redar.2016.12.004. Epub 2017 Feb 3.

Efficacy of ultrasound-guided transversus abdominis plane block in laparoscopic hysterectomy. Clinical trial.

[Article in English, Spanish]

Author information

1
Servicio de Anestesiología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Electronic address: guardabassidiego@hotmail.com.
2
Servicio de Anestesiología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Abstract

OBJECTIVES:

Transversus abdominis plane block is a regional anaesthesia technique that has proven to be effective for postoperative pain reduction in different abdominal surgical procedures. This study evaluated its efficacy on post laparoscopic hysterectomy pain intensity and analgesic consumption.

MATERIALS AND METHODS:

Randomized controlled trial which included 40 patients scheduled for laparoscopic hysterectomy, enrolled in 2 groups: transversus abdominis plane block+systemic analgesia (Group 1; n=20), versus systemic analgesia (Group 2; n=20). Opioid consumption within the first 24 postoperative hours, pain intensity scores at 60min, 2, 8 and 24h after surgery, adverse events related to systemic analgesia and time to hospital discharge were evaluated and registered.

RESULTS:

We found no differences between both groups in opioid consumption (10mg vs. 7mg; P=.2) and pain scores (NVS) within the first 24 postoperative hours, at 60min (3 vs. 5; P=.65), 120min (0 vs. 2; P=.15), 8 and 24h (0 vs. 0; P>.50) for the last 2 points in time analysed. Adverse events related to medication and time to hospital discharge showed similar results.

CONCLUSIONS:

Adding a transversus abdominis plane block technique to opioid PCA does not seem to improve postoperative pain management in laparoscopic hysterectomy. Patient preparation time and costs could be incremented and complications (although rare) related to the technique could appear.

KEYWORDS:

Analgesia postoperatoria; Anestesia regional; Bloqueo del plano transverso abdominal; Cirugía laparoscópica; Consumo de opioides; Dolor postoperatorio; Laparoscopy; Opioid consumption; Postoperative analgesia; Postoperative pain; Regional anaesthesia; Transversus abdominal plane block

PMID:
28162785
DOI:
10.1016/j.redar.2016.12.004
[Indexed for MEDLINE]

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