Postoperative analgesic effects of combined transversus abdominis plane block and anterior approach of sacral plexus block in patients undergoing laparoscopic radical prostatectomy: A randomized controlled trial
Authors' conclusion
The addition of the anterior approach of SPB was not superior to TAPB alone in reducing opioid consumption for laparoscopic radical prostatectomy. However, it was associated with lower early postoperative pain scores, decreased incidence of catheter-related bladder discomfort, and improved quality of recovery.
Study context
- Population
- Patients aged 40 to 80 years, American Society of Anesthesiologists (ASA) I–III, undergoing elective laparoscopic radical prostatectomy under GA
- Participants
- 90 patients
- Comparison
- TAP block plus anterior approach sacral plexus block vs TAP block alone
- Primary endpoint
- Cumulative IV morphine equivalent consumption
- Follow-up
- 24 h postoperatively
Methodological detailsdouble-blinded, prospective, University-affiliated tertiary care hospital
- Double-blinded
- Prospective
- University-affiliated tertiary care hospital
Primary result
As reported in the abstract
Secondary outcomes
Catheter-related bladder discomfort incidence · 1 h, 4 h and 8 h after surgery
- Significantly lower in the sacral plexus block (SPB) group
Pain scores, time to first patient-controlled analgesia (PCA) demand, QoR-15
- SPB decreased pain scores at 1 h, prolonged time to first PCA demand and increased QoR-15 at 48 h
Satisfaction, rescue analgesia, time to first flatus and ambulation
- No significant differences
Safety
Adverse effects
- No significant differences in incidence
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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