Role of TAP and RS Block in Reduction of Postoperative Pain for Gynecological Surgical Laparoscopic Procedures

The Role of Transversus Abdominis Plane Block and Rectus Sheath Block in Reduction of Postoperative Pain for Gynecological Benign Surgical Laparoscopic Procedures: a Randomized Controlled Trial

The present study aims to demonstrate the effectiveness of loco-regional wall anesthesia of the transversus abdominis plane block (TAP block) and the rectus sheath block (RS block), compared to intravenous analgesia, in terms of pain reduction, postoperative analgesic drugs consumption, patient satisfaction and decrease of LOS (length of stay), in patients undergoing benign gynecological laparoscopic surgical procedures.

Inclusion Criteria:

• patients undergoing benign laparoscopic gynecological surgery
• age between 18 and 75 years
• BMI >18 e <35
• ECOG Performance Status 0-1

Exclusion Criteria:

• age < 18 or > 75 years
• BMI <18 or > 35
• ECOG Performance Status >1
• Allergy to local anesthetics
• Allergy to NSAIDs
• Chronic kidney failure > II class
• Systemic neoplastic disease actual or previous
• Actual pregnancy
• Active or recent pelvic inflammation
• Persistent coagulopathy
• Previous opioids consumption for chronic pain
• Neurological or cognitive disorders
• Conversion from laparoscopic to open surgery
• Onset of intraoperative complications