Transversalis fascia plane block (TFPB) has been studied and has shown to be very effective in controlling postoperative pain after caesarean section but has not been studied in open gynecologic surgery with transverse incision. Inadequate pain control after open gynecologic surgery is associated with negative consequences such as chronic pelvic pain. The investigators aimed to evaluate the efficacy of TFPB in controlling postoperative pain after open gynecologic surgery with transverse incision.
A randomized controlled trial study in which comparing US-guided TFPB vs conventional pain control in open gynecologic surgery
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
32
US-guided bilateral transversalis fascia plane block, using Sonotap 110 mm and 0.25% bupivacaine 20 ml on each side, will be done after wound closure.
Department of Anesthesiology, Faculty of Medicine, Thammasat University
Pathum Thani, Thailand
Postoperative 24 hours morphine requirement
Time frame: 24 hours
postoperative pain score
Time frame: 1 hour, 6 hours, 24 hours
Side effects from postoperative opioids
nausea vomiting, itching, respiratory depression
Time frame: 24 hours
Incidence of chronic pelvic pain
Time frame: 3 months
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