JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY
Online ISSN : 1884-5746
Print ISSN : 1884-9938
Original article
A Comparative Analysis Examining Local Anesthesia versus Transversus Abdominal Plane + Rectus Sheath Block in Terms of Postoperative Analgesia Use Following Gynecologic Laparoscopic Adnexal Tumor Surgery
Tomohiro UedaYutoku ShiYuka EjimaSena HoriKyouko OginoShinsuke MochizukiShinya Hamana
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JOURNAL FREE ACCESS

2017 Volume 33 Issue 1 Pages 60-62

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Abstract

Objective: To compare local anesthesia (LA) versus transversus abdominal plane + rectus sheath block (TAP + RS) in terms of postoperative analgesia use following gynecologic laparoscopic adnexal tumor surgery.

Method: The present study retrospectively collected information from 71 patients treated with LA or TAP + RS, and examined postoperative analgesia use following laparoscopic adnexal tumor surgery between April 2013 and March 2015. The surgical procedures included ovarian resection or cystectomy. Postoperative pain was measured using a numerical rating scale immediately after the operation, and 1 h, 3 h, 6 h, 12 h, and 24 h later. The time (in minutes) to first analgesic use following the operation was analyzed.

Results: There were no significant differences in the time to postoperative analgesia use between the LA and TAP + RS groups at all time points examined.

Conclusion: LA appeared to have an effect equivalent to that of TAP + RS in terms of postoperative analgesia use in patients undergoing gynecologic laparoscopic surgery.

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© 2017 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy
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