科研之友
微信
新浪微博
Facebook
分享链接
摘要
Background: In gynecologic laparoscopic procedures, both the transversus abdominis plane (TAP) block and local analgesic (LA) infiltration of trocar insertion sites were suggested as components of multimodal approach for postoperative analgesia, and their effects were controversial. However, there is limited data comparing the combination of these 2 approaches and either regimen alone. Material and methods: Seventy-one women who underwent laparoscopic hysterectomy were randomly divided into 2 groups: the TAP group (n = 35, performed with TAP block after tracheal intubation) and the control group (n = 36). All subjects had trocar sites LA infiltration before closure of trocar incision sites and multimodal analgesia postoperatively. A numeric rating scale (NRS) was used to evaluate the pain relief and to record additional analgesic usage; other outcomes such as length of stay, adverse effects, and satisfaction scores were also assessed. Results: The 2 groups had comparable demographic information. Patients in the TAP group had significantly lower NRS compared with those in the control group (P<0.05); reduced postoperative analgesics requirement was also shown (parecoxib requirement of 60-80 mg: 11 cases vs. 34 cases, P<0.01; sufentanil supplementation: 3 case vs. 10 cases, P<0.05). In addition, satisfaction scores were significantly more satisfactory in the TAP block group (Z = 1.61, P<0.01) and comparable results were shown in length of stay and adverse effects between the 2 groups (P>0.05). Conclusion: After laparoscopic hysterectomy, conjunction of TAP block and trocar sites LA infiltration may be a better analgesic regimen compared to the latter alone.
