Postoperative analgesic effect of ultrasound-guided rectus sheath block and local anesthetic infiltration after laparoscopic cholecystectomy: Results of a prospective randomized controlled trial.
infiltrative local anesthesia
laparoscopic cholecystectomy
rectus sheath block
Journal
Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
revised:
16
04
2021
received:
15
02
2021
accepted:
23
05
2021
pubmed:
24
6
2021
medline:
5
1
2022
entrez:
23
6
2021
Statut:
ppublish
Résumé
Even if laparoscopic cholecystectomy (LC) has lower invasiveness through small incisions compared with laparotomy, postoperative pain control is important. This prospective, randomized, single-blinded, interventional, single-center study was conducted from December 2016 to March 2018 at the Shiga University of Medical Science Hospital in Japan. Enrolled patients were assigned to either a rectus sheath block (RSB) group or an infiltrative local anesthesia (LA) group. After LC, the RSB group received bilateral RSB with 10 mL of 0.375% ropivacaine and the LA group received subcutaneous and fascial injection with 10 mL of 0.75% ropivacaine at the umbilical wound. The primary endpoint was a visual analog scale (VAS) score on postoperative day (POD) 1. This study enrolled 62 patients (RSB group = 31, LA group = 31). On POD1, the mean VAS scores were 36.4 ± 18.9 and 29.4 ± 15.4 in the RSB group and LA groups, respectively, showing that the LA group tended to describe lesser postoperative pain than the RSB group (P = 0.062). VAS scores on POD1 were not different between the groups. LC patients might obtain postoperative pain control via long-acting local analgesia.
Substances chimiques
Analgesics
0
Anesthetics, Local
0
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
29-35Informations de copyright
© 2021 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.
Références
Tani M, Kawai M, Okada K, et al. Evaluation of the health-related quality of life for patients following laparoscopic cholecystectomy. Surg Today. 2015;45:564-568.
Boddy AP, Mehta SRhodes M. The effect of intraperitoneal local anesthesia in laparoscopic cholecystectomy: a systematic review and meta-analysis. Anesth Analg. 2006;103:682-688.
Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006;367:1618-1625.
Uchinami Y, Sakuraya F, Tanaka N, et al. Comparison of the analgesic efficacy of ultrasound-guided rectus sheath block and local anesthetic infiltration for laparoscopic percutaneous extraperitoneal closure in children. Pediatr Anesth. 2017;27:516-523.
Kim JS, Choi JB, Lee SY, et al. Pain related to robotic cholecystectomy with lower abdominal ports: effect of the bilateral ultrasound-guided split injection technique of rectus sheath block in female patients: a prospective randomized trial. Medicine (Baltimore). 2016;95:e4445.
Jin F, Li Z, Tan WF, et al. Preoperative versus postoperative ultrasound-guided rectus sheath block for improving pain, sleep quality and cytokine levels in patients with open midline incisions undergoing transabdominal gynecological surgery: a randomized-controlled trial. BMC Anesthesiol. 2018;18:19.
Kanda Y. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant. 2013;48:452-458.
Bain J, Kelly H, Snadden D, et al. Day surgery in Scotland: patient satisfaction and outcomes. Qual Health Care. 1999;8:86-91.
Willschke H, Bosenberg A, Marhofer P, et al. Ultrasonography-guided rectus sheath block in pediatric anesthesia-a new approach to ab old technique. Br J Anaesth. 2006;97:244-249.
Kent ML, Hackworth RJ, Riffenburgh RH, et al. A comparison of ultrasound-guided and landmark-based approaches to saphenous nerve blockade: a prospective, controlled, blinded, crossover trial. Anesth Analg. 2013;117:265-270.
Hebbard PD, Barrington MJ, Vasey C. Ultrasound-guided continuous oblique subcostal transversus abdominis plane blockade: description of anatomy and clinical technique. Reg Anesth Pain Med. 2010;35:436-441.
Hebbard P. TAP block nomenclature. Anaesthesia. 2015;70:112-113.
Wu L, Wu L, Sun H, Dong C, Yu J. Effect of ultrasound-guided peripheral nerve block of the abdominal wall on pain relief after laparoscopic cholecystectomy. J Pain Res. 2019;12:1433-1439.
Molfino S, Botteri E, Baggi P, et al. Pain control in laparoscopic surgery: a case-control study between transversus abdominis plane-block and trocar-site anesthesia. Updates Surg. 2019;71:717-722. https://doi.org/10.1007/s13304-018-00615-y.
Jeong HW, Kim CS, Choi KT, Jeong S-M, Kim D-H, Lee J-H. Preoperative versus postoperative rectus sheath block for acute postoperative pain relief after laparoscopic cholecystectomy: a randomized controlled study. J Clin Med. 2019;8(7):1018.