Randomized trial of transversus abdominis plane block at total laparoscopic hysterectomy: effect of regional analgesia on quality of recovery - 30/10/12
, Vincent Garcia-Tomas, MD b, Marilyn Alejandro-Rodriguez a, Brendan Astley, MD b, Robert R. Pollard, MD a
Reprints: Sarah M. Kane, MD, Department of Obstetrics/Gynecology, Metrohealth Medical Center, Cleveland, OH 44109Résumé |
Objective |
The objective of the study was to determine whether transversus abdominis plane (TAP) block improves the early postoperative quality of recovery (QoR-40). The secondary objectives measured postoperative pain, length of stay, and narcotic use.
Study Design |
This was a randomized, single-blinded trial of TAP block versus no block on women undergoing laparoscopic hysterectomy. TAP block patients received 20 mL of 0.5% ropivacaine with epinephrine 1:200,000 placed under ultrasound guidance on each side. The outcomes were measured using validated quality of recovery questionnaires (QoR-40), visual analog scales (VAS) for pain, and documented narcotic use in the electronic medical record.
Results |
In 58 women, no differences in demographics were noted between groups. Comparisons of pain and recovery between the 2 groups showed no differences. There was no decrease in narcotic use or length of stay among those who received the TAP block.
Conclusions |
TAP block does not improve postoperative QoR-40 scores or VAS pain scores following laparoscopic hysterectomy, nor does it decrease narcotic pain medication use.
Le texte complet de cet article est disponible en PDF.Key words : laparoscopic hysterectomy, pain control, recovery, transversus abdominis plane block
Plan
| The authors report no conflict of interest. |
|
| Cite this article as: Kane SM, Garcia-Tomas V, Alejandro-Rodriguez M, et al. Randomized trial of transversus abdominis plane block at total laparoscopic hysterectomy: effect of regional analgesia on quality of recovery. Am J Obstet Gynecol 2012;207:419.e1-5. |
Vol 207 - N° 5
P. 419.e1-419.e5 - novembre 2012 Retour au numéro
Article précédent
- Does the presence of adenomyosis and lymphovascular space invasion affect lymph node status in patients with endometrioid adenocarcinoma of the endometrium?
- Fernanda Musa, Melissa K. Frey, H. Beatrice Im, Marina Chekmareva, Lora H. Ellenson, Kevin Holcomb
- Sexual activity and function in women more than 2 years after midurethral sling placement
- Halina M. Zyczynski, Leslie Rickey, Keisha Y. Dyer, Tracey Wilson, Anne M. Stoddard, E. Ann Gormley, Yvonne Hsu, John W. Kusek, Linda Brubaker, Urinary Incontinence Treatment Network
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?