Effects of Erector Spinae Plane Block and Transmuscular Quadratus Lumborum Block on Postoperative Opioid Consumption in Total Laparoscopic Hysterectomy: A Randomized Controlled Clinical Trial

• DOI: 10.1007/s40122-023-00505-1
• Publication Date: 2023-04-13T11:04:48Z
• Authors: Weiwei Jiang; Min Wang; Xiaoli Wang; Shiyun Jin; Miao Zhang; Lili Zhang; Ye Zhang; Yun Wu
• Keywords: Sufentanil; Interquartile range

Total laparoscopic hysterectomy (TLH) is a common surgical procedure that frequently associated with substantial postoperative pain. As part of multimodal analgesia, the erector spinae plane block (ESPB) and transmuscular quadratus lumborum (TQLB) have been demonstrated to be effective. This study aimed evaluate whether ESPB TQLB reduce pain opioid consumption after TLH. A total 90 female patients undergoing TLH were randomized receive either ESPB, TQLB, or no intervention before general anesthesia. All received patient-controlled sufentanil analgesia postoperatively. Postoperative evaluated. The primary outcome was cumulative at 12 h postoperatively significantly lower in Group than CON Bonferroni correction (median [interquartile range], 0 [0, 4] μg vs. 6 10] μg; median difference = − 3; 95% confidence interval, 6–0; P 0.010). There significant differences between (0 0.098) two groups (P 1.000). When compared CON, persistently reduced scores until 4 surgery, respectively < 0.05). However, found groups. improved quality for may more favorable due prolonged period decreased Chinese Clinical Trial Registry: ChiCTR2100048165, Registry URL: http://www.chictr.org.cn/showproj.aspx?proj=129578 . Date registration: July 4, 2021. patient enrollment began on 12,