Analgesic efficacy of trocar sites local anesthetic infiltration with and without transversus abdominis plane block after laparoscopic hysterectomy: a randomized trial

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	Analgesic efficacy of trocar sites local anesthetic infiltration with and without transversus abdominis plane block after laparoscopic hysterectomy: a randomized trial
	Huang, SH; Mi, SQ; He, YY; Li, Y; Wang, SK; Wang, SK (reprint author), Lanzhou Univ, Dept Orthoped, Hosp 2, Lanzhou 730000, Peoples R China.
刊名	INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
	2016
卷号	9 期号:3 页码:6518-6524
关键词	Laparoscopic hysterectomy local analgesic analgesia
ISSN号	1940-5901
文献子类	Article
英文摘要	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.
学科主题	Research & Experimental Medicine
出版地	MADISON
语种	英语
WOS记录号	WOS:000377959900143
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/179323]
专题	第二临床医学院_期刊论文
通讯作者	Wang, SK (reprint author), Lanzhou Univ, Dept Orthoped, Hosp 2, Lanzhou 730000, Peoples R China.
推荐引用方式 GB/T 7714	Huang, SH,Mi, SQ,He, YY,et al. Analgesic efficacy of trocar sites local anesthetic infiltration with and without transversus abdominis plane block after laparoscopic hysterectomy: a randomized trial[J]. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,2016,9(3):6518-6524.
APA	Huang, SH,Mi, SQ,He, YY,Li, Y,Wang, SK,&Wang, SK .(2016).Analgesic efficacy of trocar sites local anesthetic infiltration with and without transversus abdominis plane block after laparoscopic hysterectomy: a randomized trial.INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,9(3),6518-6524.
MLA	Huang, SH,et al."Analgesic efficacy of trocar sites local anesthetic infiltration with and without transversus abdominis plane block after laparoscopic hysterectomy: a randomized trial".INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 9.3(2016):6518-6524.