Hutchins Jacob, Vogel Rachel Isaksson, Ghebre Rahel, McNally Amy, Downs Levi S, Gryzmala Elizabeth, Geller Melissa A
*Department of Anesthesiology, †Masonic Cancer Center Biostatistics and Bioinformatics, and ‡Department of Obstetrics, Gynecology and Women's Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN.
Int J Gynecol Cancer. 2015 Jun;25(5):937-41. doi: 10.1097/IGC.0000000000000429.
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.
我们试图确定在接受机器人辅助子宫切除术的女性中，使用脂质体布比卡因进行肋下腹横肌平面（TAP）阻滞对术后最大疼痛评分和住院时间的影响。
这是一项回顾性研究，比较了在单一学术机构接受机器人辅助子宫切除术期间持续使用脂质体布比卡因进行TAP阻滞前后的患者。分析按TAP阻滞的使用情况比较了患者的人口统计学和手术特征，以及包括术后疼痛和住院时间在内的感兴趣的结果。
与未接受TAP阻滞的患者相比，接受脂质体布比卡因TAP阻滞的患者在数字评分量表上的最大疼痛评分、恶心和呕吐的发生率以及住院时间均有统计学意义的降低。即使在对潜在混杂因素进行调整后，这些差异仍然存在。
在这项回顾性研究中，TAP阻滞中使用的脂质体布比卡因是一种有用的方法，可为接受机器人辅助子宫切除术的患者提供术后疼痛控制，并与较低的术后最大疼痛评分和住院时间相关。
