Postoperative analgesic efficacy of intertransverse process block vs. erector spinae plane block in total laparoscopic hysterectomy: a randomized double-blind trial - Summary - MDSpire
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Postoperative analgesic efficacy of intertransverse process block vs. erector spinae plane block in total laparoscopic hysterectomy: a randomized double-blind trial
To compare the analgesic effects of intertransverse process block (ITPB) and erector spinae plane block (ESPB) in patients undergoing total laparoscopic hysterectomy (TLH).
Key Findings:
ITPB group required significantly lower intraoperative remifentanil doses (mean difference: −328.0 μg, p < 0.001).
Cumulative opioid consumption within 24 hours was lower in the ITPB group (mean difference: −2.5 mg morphine equivalents, p < 0.001).
NRS scores for visceral pain were significantly lower in the ITPB group at multiple time points post-surgery (p < 0.001).
NRS scores for incisional pain were significantly lower in the ITPB group immediately after awakening and at 4, 6, and 8 hours postoperatively (p < 0.05).
Interpretation:
Limitations:
Study conducted with a limited sample size of 66 patients.
Further studies needed to elucidate the mechanisms of ITPB and optimize local anesthesia administration.
