The Transversus Abdominal Plane (TAP) block has been used with good success to decrease postoperative pain following laparatomy. If the TAP block provides any improvement in the quality of recovery following laparoscopic hysterectomy, it could decrease the need for postoperative narcotics and allow for more outpatient hysterectomy procedures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
56
Bilateral transversus abdominal plane injection under ultrasound guidance, done at conclusion of hysterectomy procedure, prior to emergence from general anesthesia
Quality of Recovery Questionnaire (QoR-40) on Postop Day #1 or #2
40 question survey completed on paper or by telephone on post-operative day #1 or #2, designed to measure health status after surgery and anesthesia. Scale ranges from 40 (extremely poor qualify of recovery) to 200 (excellent quality of recovery).
Time frame: Postop Day #1 or Day #2
Narcotic Use
narcotic use in mg of Morphine will be recorded
Time frame: Postop Day #0 and Day #1
Visual Analog Scale (VAS) for Pain
visual analogue scales for pain will be completed on post-operative day #0 and #1, pain is assessed on a 10-point visual analogue scale (0 = no pain; 1 to 3 = mild; 4 to 6 = moderate pain; 7 to 10 = severe pain.)
Time frame: 2 and 24 hours post operative
Intraoperative Time
The total time in the operating room will be recorded to see if there is a difference between groups.
Time frame: the total intraoperative time in minutes
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