Transversus Abdominis Plane Blocks for Patients Undergoing Robotic Gynecologic Oncology Surgery

Transversus Abdominis Plane Blocks for Patients Undergoing Robotic Gynecologic Oncology Surgery: A Prospective Randomized, Double-blind, Placebo-controlled Trial

This study is a single-center, randomized, placebo-controlled, double-blind clinical trial. The purpose of this study is to evaluate the impact of pre-operative transverses abdominis plane (TAP) blocks on post-operative analgesia in patients undergoing robotic surgery for gynecologic cancers.

Inclusion Criteria:

• Patients undergoing robotic-assisted surgery under the care of the Division of Gynecologic Oncology at UWHC.
• Patients must be ≥18 years old.
• Patients must be English speaking.
• Patients must have the ability to understand visual and verbal pain scales.
• ASA physical status 1-3.

Exclusion Criteria:

• Known allergy to local anesthetics.
• Immunocompromised.
• Known history of opioid dependence, as available within the medical record and standard of care pre-operative work-up.
• Known history of chronic pain disorders.
• Pregnancy or lactation.
• Patient is a prisoner or incarcerated.
• Significant liver disease that would inhibit prescription of opioids.