Ultrasound-Guided Subcostal Transversus Abdominis Plane Infiltration With Liposomal Bupivacaine for Patients Undergoing Robotic-Assisted Hysterectomy. Issue 5 (June 2015)

• Record Type: Journal Article
• Authors: Hutchins, Jacob; Vogel, Rachel Isaksson; Ghebre, Rahel; McNally, Amy; Downs, Levi S.; Gryzmala, Elizabeth; Geller, Melissa A.
• Is Part Of: International journal of gynecological cancer. Volume 25:Issue 5(2015:Jun.)
• Publication Date: 2015-06
• Subjects: Generative organs, Female -- Cancer -- Periodicals; 616.99465
• DOI: 10.1097/IGC.0000000000000429
• Languages: English
• ISSNs: 1048-891X

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Objective</title> <p>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.</p> </sec> <sec> <title>Methods</title> <p>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.</p> </sec> <sec> <title>Results</title> <p>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.</p> </sec> <sec> <title>Conclusions</title> <p>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.</p> </sec> </abstract>