Ultrasound-guided subcostal transversus abdominis plane infiltration with liposomal bupivacaine for patients undergoing robotic-assisted hysterectomy: a retrospective study

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Jacob HutchinsMelissa A Geller

Abstract

We sought to determine the effect of a subcostal transversus abdominis plane (TAP) block with liposomal bupivacaine on postoperative maximal pain score and length of hospital stay among women undergoing robotic-assisted hysterectomy. This was a retrospective study comparing patients before and after consistent implementation of TAP blocks with liposomal bupivacaine during robotic-assisted hysterectomies at a single academic institution. Analysis compared patient demographic and operative characteristics by TAP block use, along with outcomes of interest, including postoperative pain and length of hospital stay. There was a statistically significant decrease in maximal numerical rating scale pain scores, presence of nausea and vomiting, and length of hospital stay in those who had a TAP block with liposomal bupivacaine compared with those who did not receive a TAP block. These differences remained even after adjustment for potential confounders. In this retrospective study, liposomal bupivacaine used in a TAP block was a useful method to provide postoperative pain control in patients undergoing robotic-assisted hysterectomy and was associated with lower postoperative maximal pain scores and length of hospital stay.

References

Nov 10, 1998·Acta Obstetricia Et Gynecologica Scandinavica·M EllströmM Hahlin
Apr 22, 2011·Obstetrics and Gynecology·Misa Perron-BurdickEve Zaritsky
Sep 20, 2011·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Selvan PatherJonathon Carter
Oct 12, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Joseph Gauta
Mar 1, 2014·Acta Obstetricia Et Gynecologica Scandinavica·Gustavo A CalleLuis A Almanza

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Citations

Jan 4, 2017·American Journal of Obstetrics and Gynecology·Emily BlantonSawsan As-Sanie
Jan 14, 2017·Regional Anesthesia and Pain Medicine·Ki Jinn ChinJeffrey Gadsden
Aug 26, 2016·The Cochrane Database of Systematic Reviews·Thomas W HamiltonHemant G Pandit
Apr 27, 2018·Anesthesiology and Pain Medicine·Jose M SolizKeyuri Popat
Aug 11, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Patrick DiscepolaJean D Eloy

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