Rectus sheath block for acute pain management after robot-assisted prostatectomy
| Autor: | Sang Hyun Hong, Jung-Woo Shim, Hyong Woo Moon, Ji Youl Lee, Hyung Mook Lee, Sangmin Jung, Min Suk Chae, Jaesik Park, Yong-Suk Kim |
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| Rok vydání: | 2022 |
| Předmět: |
Male
medicine.medical_specialty Visual analogue scale Analgesic Rectus Abdominis Prostate cancer medicine Robot assisted laparoscopic prostatectomy Humans Pain Management Prospective Studies Ultrasonography Interventional Acute pain Prostatectomy Pain Postoperative business.industry Nerve Block Robotics Rectus sheath medicine.disease Surgery Analgesics Opioid medicine.anatomical_structure Opioid Laparoscopic Prostatectomy business medicine.drug |
| Zdroj: | Asian Journal of Surgery. 45:1843-1848 |
| ISSN: | 1015-9584 |
| Popis: | Background Robot-assisted laparoscopic prostatectomy (RALP) is a favored surgical approach for treating prostate cancer. However, RALP does not decrease postoperative pain significantly despite its minimal invasiveness. The pain associated with robot-assisted surgery is most severe during the immediate postoperative period. We aimed to demonstrate that preoperative rectus sheath block (RSB) can reduce acute pain after RALP. Methods A prospective non-randomized study with two parallel groups was performed from June 2020 to August 2020. A total of 100 patients undergoing RALP were divided into two groups: the RSB group (n = 50) and the non-RSB group (n = 50). Ultrasound-guided RSB was performed preoperatively only in the RSB group. The primary outcome of the study was the visual analog scale (VAS) pain score during coughing (VAS-C) 1 h after surgery. In addition, the VAS pain score at rest (VAS-R) and the VAS-C were assessed up to 24 h after surgery. The doses of postoperative opioids consumed were also recorded. Results The RSB group had a significantly lower VAS-C 1 h after RALP (58 [47–73] vs. 74 [63–83] mm, p = 0.001). In addition, the RSB group had significantly lower VAS-R and VAS-C scores, and postoperative opioid requirement, up to 6 h after surgery compared to the non-RSB group. Moreover, the VAS-R was significantly lower in the RSB group than in the non-RSB group 24 h after surgery. Conclusion Preoperative RSB significantly improved analgesia during the early period after RALP. The long-term analgesic efficacy of RSB needs further study. |
| Databáze: | OpenAIRE |
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