title: An assessment of the value of rectus sheath block for postlaparoscopic pain in gynecologic surgery.
abstract: OBJECTIVE
  To compare the effect of the bilateral rectus sheath block (BRSB) by bupivacaine in decreasing postlaparoscopic pain with the intraperitoneal (IP) and intraincisional (II) use of this drug.
  
  
  METHODS
  Randomized, double-blind, clinical trial (Canadian Task Force Classification I).
  
  
  METHODS
  University teaching hospital.
  
  
  METHODS
  Ninety-one women with unexplained infertility.
  
  
  RESULTS
  Patients were randomly allocated to one of three groups. In group I, BRSB was performed with 25 mg of bupivacaine. For groups II and III, IP and II instillation, respectively, of 25 mg of bupivacaine was performed. Postoperative pain was assessed by visual analog pain score (VAS) 1, 6, 10, and 24 hours postoperatively. The VAS was significantly lower in group I at 6 hours (p <.001) and 10 hours (p <.004) after laparoscopy.
  
  
  CONCLUSIONS
  Bilateral rectus sheath block can effectively decrease postlaparoscopic pain at 6 and 10 hours after the operation when compared with IP and II use of bupivacaine.
authors.affiliation: Department of Anesthesia, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Simin
authors.initials: S
authors.lastname: Azemati
authors.forename: M B
authors.initials: MB
authors.lastname: Khosravi
mesh_terms: D000328:Adult; D000779:Anesthetics, Local; D002045:Bupivacaine; D004311:Double-Blind Method; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D009407:Nerve Block; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine