Ultrasound-guided transversus abdominis plane blocks for patients undergoing laparoscopic hand-assisted nephrectomy: a randomized, placebo-controlled trial

Stephen Aniskevich, C Burcin Taner, Dana K Perry, Christopher B Robards, Steven B Porter, Colleen S Thomas, Ilana I Logvinov, Steven R Clendenen, Stephen Aniskevich, C Burcin Taner, Dana K Perry, Christopher B Robards, Steven B Porter, Colleen S Thomas, Ilana I Logvinov, Steven R Clendenen

Abstract

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.

Keywords: kidney donor; nephrectomy; transversus abdominis plane block; ultrasound guidance.

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Source: PubMed

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