Postoperative analgesic efficacy of intertransverse process block vs. erector spinae plane block in total laparoscopic hysterectomy: a randomized double-blind trial - Takeaways - MDSpire

Postoperative analgesic efficacy of intertransverse process block vs. erector spinae plane block in total laparoscopic hysterectomy: a randomized double-blind trial

  • By

  • Yang Zeng

  • Qian Chen

  • Huimin Peng

  • Di Wu

  • Shangshi Ji

  • Huan Li

  • Feiyun Lu

  • Haiyun Du

  • Bin Qian

  • June 5, 2026

  • 0 min

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  • 1

    The study compared intertransverse process block (ITPB) and erector spinae plane block (ESPB) for postoperative pain management in total laparoscopic hysterectomy.

  • 2

    Patients receiving ITPB required significantly lower intraoperative remifentanil doses compared to those receiving ESPB (mean difference: −328.0 μg, p < 0.001).

  • 3

    Cumulative opioid consumption within 24 hours postoperatively was significantly lower in the ITPB group than in the ESPB group (mean difference: −2.5 mg morphine equivalents, p < 0.001).

  • 4

    Numerical Rating Scale scores for visceral pain were significantly lower in the ITPB group at multiple time points post-surgery compared to the ESPB group (p < 0.001).

  • 5

    ITPB was associated with improved short-term postoperative recovery quality compared to ESPB, highlighting its effectiveness in pain management.

Original Source(s)

Postoperative analgesic efficacy of intertransverse process block vs. erector spinae plane block in total laparoscopic hysterectomy: a randomized double-blind trial

  • by Yang Zeng, Qian Chen, Huimin Peng, Di Wu, Shangshi Ji, Huan Li, Feiyun Lu, Haiyun Du, Bin Qian

  • June 5, 2026

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