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Ultrasound-guided Transversus Abdominis Plane Blocks For Patients Undergoing Laparoscopic Hand-assisted Nephrectomy: A Randomized, Placebo-controlled Trial
Author: Aniskevich S, Taner Cb, Perry Dk, Robards Cb, Porter Sb, Thomas Cs, Logvinov Ii, Clendenen Sr
Publisher: Derivative Works
6 pages
One time payment: €0.00
Required subscription: Free
Type of publication: Article
ISBN/ISSN: 1178-7112
DOI: 10.2147/61589
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Description:

Postoperative pain is a common complaint following living kidney donation or tumor resection using the laparoscopic hand-assisted technique. To evaluate the potential analgesic benefit of transversus abdominis plane blocks, we conducted a randomized, double-blind, placebo-controlled study in 21 patients scheduled to undergo elective living-donor nephrectomy or single-sided nephrectomy for tumor. Patients were randomized to receive either 20 mL of 0.5% ropivacaine or 20 mL of 0.9% saline bilaterally to the transversus abdominis plane under ultrasound guidance. We found that transversus abdominis plane blocks reduced overall pain scores at 24 hours, with a trend toward decreased total morphine consumption. Nausea, vomiting, sedation, and time to discharge were not significantly different between the two study groups.

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