A study of the analgesic efficacy of rectus sheath block in single-port total laparoscopic hysterectomy: a randomized controlled study
Objective To investigate the postoperative analgesic effects of rectus sheath block (RSB) in combination with patient-controlled analgesia (PCA) compared with PCA alone after single-port total laparoscopic hysterectomy (TLH) Methods This randomized, single-blind study enrolled female patients that u...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-10-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605221133061 |
| _version_ | 1811338419751616512 |
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| author | Byung Jo Choi Se Gyu Choi Ohnchae Ryeon Woojin Kwon |
| author_facet | Byung Jo Choi Se Gyu Choi Ohnchae Ryeon Woojin Kwon |
| author_sort | Byung Jo Choi |
| collection | DOAJ |
| description | Objective To investigate the postoperative analgesic effects of rectus sheath block (RSB) in combination with patient-controlled analgesia (PCA) compared with PCA alone after single-port total laparoscopic hysterectomy (TLH) Methods This randomized, single-blind study enrolled female patients that underwent single-port TLH. The patients were randomized to receive either fentanyl PCA (PCA group) or RSB with the same PCA. The primary outcomes were fentanyl consumption at 8 h postoperatively and visual analogue scale (VAS) pain scores, which represented the severity of postoperative pain. Results A total of 36 patients were enrolled in the study: 18 in the PCA group and 18 in the RSB group (two patients were excluded). The primary outcome of fentanyl consumption was significantly lower at 8 h postoperatively in the RSB group than in the PCA group (148 ± 61 µg versus 222 ± 107 µg, respectively). VAS scores were significantly lower at arrival in the post-anaesthesia care unit and at 30 min after arrival in the RSB group compared with the PCA group. There were no significant differences in the nausea/vomiting score and in additional analgesic consumption between the two groups. Conclusions RSB can be used as a multimodal approach for pain control in single-port TLH procedures. Clinical Research Information Service (no. KCT0001461). |
| first_indexed | 2024-04-13T18:10:31Z |
| format | Article |
| id | doaj.art-a5f27f2d92184f09a0cc250556aa9c15 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-04-13T18:10:31Z |
| publishDate | 2022-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-a5f27f2d92184f09a0cc250556aa9c152022-12-22T02:35:55ZengSAGE PublishingJournal of International Medical Research1473-23002022-10-015010.1177/03000605221133061A study of the analgesic efficacy of rectus sheath block in single-port total laparoscopic hysterectomy: a randomized controlled studyByung Jo ChoiSe Gyu ChoiOhnchae RyeonWoojin KwonObjective To investigate the postoperative analgesic effects of rectus sheath block (RSB) in combination with patient-controlled analgesia (PCA) compared with PCA alone after single-port total laparoscopic hysterectomy (TLH) Methods This randomized, single-blind study enrolled female patients that underwent single-port TLH. The patients were randomized to receive either fentanyl PCA (PCA group) or RSB with the same PCA. The primary outcomes were fentanyl consumption at 8 h postoperatively and visual analogue scale (VAS) pain scores, which represented the severity of postoperative pain. Results A total of 36 patients were enrolled in the study: 18 in the PCA group and 18 in the RSB group (two patients were excluded). The primary outcome of fentanyl consumption was significantly lower at 8 h postoperatively in the RSB group than in the PCA group (148 ± 61 µg versus 222 ± 107 µg, respectively). VAS scores were significantly lower at arrival in the post-anaesthesia care unit and at 30 min after arrival in the RSB group compared with the PCA group. There were no significant differences in the nausea/vomiting score and in additional analgesic consumption between the two groups. Conclusions RSB can be used as a multimodal approach for pain control in single-port TLH procedures. Clinical Research Information Service (no. KCT0001461).https://doi.org/10.1177/03000605221133061 |
| spellingShingle | Byung Jo Choi Se Gyu Choi Ohnchae Ryeon Woojin Kwon A study of the analgesic efficacy of rectus sheath block in single-port total laparoscopic hysterectomy: a randomized controlled study Journal of International Medical Research |
| title | A study of the analgesic efficacy of rectus sheath block in single-port total laparoscopic hysterectomy: a randomized controlled study |
| title_full | A study of the analgesic efficacy of rectus sheath block in single-port total laparoscopic hysterectomy: a randomized controlled study |
| title_fullStr | A study of the analgesic efficacy of rectus sheath block in single-port total laparoscopic hysterectomy: a randomized controlled study |
| title_full_unstemmed | A study of the analgesic efficacy of rectus sheath block in single-port total laparoscopic hysterectomy: a randomized controlled study |
| title_short | A study of the analgesic efficacy of rectus sheath block in single-port total laparoscopic hysterectomy: a randomized controlled study |
| title_sort | study of the analgesic efficacy of rectus sheath block in single port total laparoscopic hysterectomy a randomized controlled study |
| url | https://doi.org/10.1177/03000605221133061 |
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