Laparoscopic Superior Hypogastric Blocks for Postoperative Pain Management in Hysterectomies: A New Technique for Superior Hypogastric Blocks

Journal of Minimally Invasive Gynecology
Hande Gurbuz AytulukGulfem Basol

Abstract

To evaluate the effect of intraoperative superior hypogastric blocks on postoperative pain management. Prospective observational cohort study (Canadian Task Force classification II-2). Kocaeli Derince Training and Research Hospital, University of Health Sciences, Department of Anesthesiology and Reanimation, Department of Gynecology and Obstetrics, Kocaeli, Turkey. Sixty female patients who underwent elective laparoscopic hysterectomy were included in this study. Patients were divided into 2 groups: those who had intraoperative superior hypogastric plexus (SHP) block (Hypo; n = 30) and those who did not have intraoperative SHP block (No-Hypo; n = 30). Intraoperative SHP blocks were performed with the modified laparoscopic technique previously described by us. Rescue analgesic time was calculated in minutes as the time interval between the last administration of analgesic in the operating room or postanesthesia care unit and the first analgesic demand in the surgical ward. Rescue analgesic times were found to be significantly higher in the Hypo group. Nonsteroidal anti-inflammatory drugs and opioid requirements in the postanesthesia care unit and in the surgical ward were significantly lower in the Hypo group. There was no diffe...Continue Reading

Associated Clinical Trials

Citations

Oct 4, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Bahar Sarıibrahim AstepeAhmet Kale
Oct 1, 2019·The Clinical Journal of Pain·Hande G AytulukTuncay Colak
Aug 23, 2020·Journal of Minimally Invasive Gynecology·Rebecca StoneErica Weston
Jul 2, 2021·Journal of Minimally Invasive Gynecology·Praveen De SilvaDanny Chou

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