婦人科腹腔鏡子宮付属器腫瘍手術における創部局所浸潤麻酔と腹横筋膜面ブロック＋腹直筋鞘ブロックの術後鎮痛効果に関する検討

抄録

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.