Transversus Abdominis Bilateral Plane Block in Total Laparoscopic Hysterectomy : A Randomized Controlled Trial

• Status: Unknown status
• Trial end date: 2012-05-01
• Target enrollment: 0
• Participant gender: Female

Summary

The ambulatory management after laparoscopic hysterectomy is a reality in our service, where 90% of hysterectomies are laparoscopically done and 80% of these are managed on an ambulatory basis with shorter hospital stay ;less than 12 hours. (OALOS 9.41 + / - (1.79) range from 5 to 12 hours and POLE 5.38 + / - (1.8) range from 2 to 9 hours)

So far the immediate analgesic management has been made systemically, and the satisfaction reported by patients was high, even though some patients require longer stay in recovery and need higher doses of analgesics before their discharge criteria, allowing an optimal ambulatory management.

There are several treatment options that theoretically could be used but the results have been variable and have failed to demonstrate the expected benefit.

The Transversus Abdominis Plane Block consists in the deposition of local anesthetic in the plane between the internal oblique and transverse abdominal, looking to infiltrate the spinal nerves at this level, so the innervation to the skin, muscles and the parietal peritoneum will be interrupted. The TAP Block was first described in 2001 , based on anatomy marks techniques of the peripheral nerves and was developed and evaluated later by McDonnell et al.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: CES University
• Treatments: Bupivacaine; Pharmaceutical Solutions

Criteria

Inclusion Criteria:

• All patients scheduled for laparoscopic hysterectomy for benign causes.

• ASA 1 and 2

• Patients without contraindications to the administration of local anesthetics

• Patients without contraindications to NSAIDs or acetaminophen.

• Patients with no simultaneous intervention (only laparoscopic hysterectomy)

• Patients living in the metropolitan area, with telephone line, can be contacted by telephone in the first 72 hours by calling 24, 48 and 72 hours, conducted by researchers at the number previously reported by the patient.

• An adequate level of understanding, ie patients who are able to communicate by telephone and understand a numerical scale.

• Who agree to participate in the work.

Exclusion Criteria:

• Patients who should undergo a change in the standard anesthetic technique.

• Patients who are hospitalized after total laparoscopic hysterectomy.

• Patients with a body mass index above 30.

• Laparoscopic hysterectomy with a longer duration to 120 minutes.

• Patients who do not they can be reached by phone at pre-set times.