title: Effectiveness of ultrasound-guided transversus abdominis plane block and rectus sheath block in pain control and recovery after gynecological transumbilical single-incision laparoscopic surgery.
abstract: OBJECTIVE
  To evaluate the effectiveness of ultrasound-guided transversus abdominis plane (TAP) and rectus sheath (RS) blocks in pain management and recovery after gynecological single-incision laparoscopic surgery (SILS).
  
  
  METHODS
  Abilateral TAP block (Group A, n = 9), bilateral TAP and RS blocks (Group B, n = 10), and a bilateral RS block (Group C, n = 9) with 40 ml ropivacaine per patient were conducted in 28 patients undergoing SILS for ovarian tumors. A pain score and walking distance in a 6-minute walk test (6MWT) were examined.
  
  
  RESULTS
  Pain scores were significantly lower on postoperative day (POD) 3 than on POD 1 in Groups B (p = 0.03) and C (p = 0.02). The walking distance on POD 3 was comparable with that before surgery in Group C (p = 0.75), but shorter in Groups A (p = 0.004) and B (p = 0.02).
  
  
  CONCLUSIONS
  The RS block alone was the most effective in relieving pain and accelerating general recovery after gynecological SILS.
authors.affiliation: Department of Rehabilitation, Nissay Hospital, Osaka, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Mugita
authors.forename: R
authors.initials: R
authors.lastname: Kawahara
authors.forename: Y
authors.initials: Y
authors.lastname: Tamai
authors.forename: K
authors.initials: K
authors.lastname: Yamasaki
authors.forename: S
authors.initials: S
authors.lastname: Okuno
authors.forename: R
authors.initials: R
authors.lastname: Hanada
authors.forename: M
authors.initials: M
authors.lastname: Inaoka
authors.forename: T
authors.initials: T
authors.lastname: Funato
mesh_terms: D000009:Abdominal Muscles / Q000294:innervation*; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000628:therapy*; D017568:Rectus Abdominis / Q000294:innervation; D018084:Ultrasonography, Interventional / Q000379:methods*