RT Journal Article
SR Electronic
T1 Ultrasound-Guided Subcostal Transversus Abdominis Plane Infiltration With Liposomal Bupivacaine for Patients Undergoing Robotic-Assisted Hysterectomy: A Retrospective Study
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 937
OP 941
DO 10.1097/IGC.0000000000000429
VO 25
IS 5
A1 Jacob Hutchins
A1 Rachel Isaksson Vogel
A1 Rahel Ghebre
A1 Amy McNally
A1 Levi S. Downs
A1 Elizabeth Gryzmala
A1 Melissa A. Geller
YR 2015
UL http://ijgc.bmj.com/content/25/5/937.abstract
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.