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

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. Randomized...

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Bibliographic Details
Published in:	Revista española de anestesiología y reanimación Vol. 64; no. 5; pp. 257 - 261
Main Authors:	Guardabassi, D S, Lupi, S, Agejas, R, Allub, J M, García-Fornari, G
Format:	Journal Article
Language:	English
Published:	Spain 01-05-2017
Subjects:	Abdominal Muscles - diagnostic imaging Adult Female Humans Hysterectomy - methods Laparoscopy Middle Aged Nerve Block - methods Pain, Postoperative - prevention & control Single-Blind Method Treatment Outcome Ultrasonography, Interventional Cirugía laparoscópica Transversus abdominal plane block Postoperative pain Opioid consumption Bloqueo del plano transverso abdominal Regional anaesthesia Analgesia postoperatoria Laparoscopy Anestesia regional Dolor postoperatorio Postoperative analgesia Consumo de opioides
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Summary:	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. 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. 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. 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.
ISSN:	2341-1929 2340-3284 2341-1929
DOI:	10.1016/j.redare.2016.12.003