2017 Volume 53 Issue 6 Pages 1161-1165
Purpose: Rectus sheath block (RSB) is beneficial for postoperative pain, but it is associated with significant technical difficulties and risk of organ injury. We introduce a much easier technique of performing RSB during laparoscopic surgery (laparoscopic rectus sheath block: L-RSB). The aim of this study is to identify the efficacy of L-RSB for outpatient laparoscopic percutaneous extraperitoneal closure (LPEC) in girls.
Methods: Girls who had undergone outpatient hernia repair were divided into 3 groups according to the procedure of repair. The girls in the Potts group underwent the conventional Potts procedure (n = 19), girls in the LAI group underwent LPEC with local anesthetic infiltration (n = 10), and girls in the L-RSB group underwent LPEC with L-RSB (n = 28). Using the Face Pain scale (FPS), postoperative pain was measured at 0, 30, 60, and 180 minutes. Cases of analgesic use and unplanned hospital admission were monitored.
Results: The total FPS score was higher in the LAI group than in the other groups (1.53 ± 4.39 in the Potts group, 2.68 ± 4.69 in the L-RSB group, and 9.43 ± 7.90 in the LAI group, P < 0.05). The patients in the LAI group required more analgesics (2/19 in the Potts group, 5/28 in the L-RSB group, 7/10 in the LAI group, P < 0.05). The incidence of unplanned hospital admission was higher in the LAI group than in the Potts and L-RSB groups (1/19 in the Potts group, 2/28 in the L-RSB group, 4/10 in the LAI group, P < 0.05).
Conclusions: L-RSB was found to be effective for postoperative pain after outpatient LPEC in girls. We think that our technique may be carried out safely and easily.
