The analgesic effects of ultrasound-guided recto-intercostal fascial plane block in laparoscopic hiatus hernia repair: A randomized double-blind controlled study
Authors' conclusion
The RIFPB reduced the intraoperative nociception and the 24-h postoperative opioid consumption after LHHR. Also, it delayed the need for rescue morphine; reduced pain scores, PONV incidence, and increased patient satisfaction after surgery.
Study context
- Population
- Patients undergoing laparoscopic hiatus hernia repair (LHHR)assigned equally
- Participants
- 44 patients
- Comparison
- Bilateral ultrasound-guided recto-intercostal fascial plane block (RIFPB) vs no block
- Primary endpoint
- Total opioid consumption post-surgery
- Follow-up
- 24 h
Methodological detailsdouble-blind
- Double-blind
Primary result
As reported in the abstract
Postoperative morphine consumption
P < 0.001
Secondary outcomes
Intraoperative fentanyl dose · significantly lower in the RIFPB group
P < 0.001
Median
| Outcome | RIFPB | C | P value |
|---|---|---|---|
| Time to first morphine requestSignificantly prolonged in the RIFPB group | P < 0.001 | ||
| Postoperative pain scores | P < 0.05 | ||
| Patient satisfaction scoreHigher in the RIFPB group | 4 | 3 | P < 0.001 |
| PONV incidenceLower in the RIFPB group | P = 0.034 |
- Postoperative pain scores: lower in the RIFPB group at all time points except 8 h after surgery
Original publication
The analgesic effects of ultrasound-guided recto-intercostal fascial plane block in laparoscopic hiatus hernia repair: A randomized double-blind controlled study. Anaesth Crit Care Pain Med. Published 3 December 2025. doi:10.
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