Ultrasound-guided anterior and posterior quadratus lumborum block for analgesia after laparoscopic hysterectomy

Laparoscopic procedures are now preferred over open surgeries, and total laparoscopic hysterectomy is becoming increasingly popular. Quadratus lumborum (QL) block is an evolving technique for abdominal surgeries that blocks T5–L1 nerve branches. We used a combination of anterior and posterior QL blo...

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Bibliographic Details
Published in:Pain management (London) 2021-01, Vol.11 (1), p.5-8
Main Authors: Singh, Neha, Rao, Parnandi Bhaskar, Elayat, Anirudh
Format: Article
Language:English
Subjects:
Abdomen
Analgesics
Case reports
Consent
Fentanyl
General anesthesia
Hysterectomy
Laparoscopy
Likert scale
multimodal analgesia
Pain
Patient satisfaction
postoperative pain
Postoperative period
Surgery
total laparoscopic hysterectomy
Ultrasonic imaging
ultrasound-guided quadratus lumborum block
Urogenital system
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Summary:Laparoscopic procedures are now preferred over open surgeries, and total laparoscopic hysterectomy is becoming increasingly popular. Quadratus lumborum (QL) block is an evolving technique for abdominal surgeries that blocks T5–L1 nerve branches. We used a combination of anterior and posterior QL block given bilaterally in two patients and evaluated perioperative opioid consumption, postoperative pain score and patient satisfaction. There was reduced perioperative opioid consumption along with postoperative visual analog scale for pain over the first 24 h. Both patients appreciated the level and standard of pain relief. QL block is promising as a part of multimodal analgesia for laparoscopic abdominal surgeries. Further studies are needed to determine the best possible combination of different approaches to QL block.
ISSN:1758-1869
1758-1877
DOI:10.2217/pmt-2020-0008