PT - JOURNAL ARTICLE AU - Jacob Hutchins AU - Rachel Isaksson Vogel AU - Rahel Ghebre AU - Amy McNally AU - Levi S. Downs AU - Elizabeth Gryzmala AU - Melissa A. Geller TI - Ultrasound-Guided Subcostal Transversus Abdominis Plane Infiltration With Liposomal Bupivacaine for Patients Undergoing Robotic-Assisted Hysterectomy: A Retrospective Study AID - 10.1097/IGC.0000000000000429 DP - 2015 Jun 01 TA - International Journal of Gynecologic Cancer PG - 937--941 VI - 25 IP - 5 4099 - http://ijgc.bmj.com/content/25/5/937.short 4100 - http://ijgc.bmj.com/content/25/5/937.full SO - Int J Gynecol Cancer2015 Jun 01; 25 AB - Objective 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.Methods 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.Results 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.Conclusions 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.