{
  "abstract": "Background and Aims Various methods are commonly employed with regards to analgesia during transvesical prostate adenomectomy (TPA). We analysed whether there is a difference between a treatment applying two abdominal blocks versus one without any regional block for patients undergoing TPA.Methods Prospectively 28, ASA II – III, 71.2 ± 7.7 y. males, BMI 25 ± 3.6 were analysed. Approval nr. Nr. 71–35/184. GA was applied for 5 and spinal for 23 of the patients. Patients were randomized into three groups: transversus abdominis plane (TAP group, n=10), rectus sheath block (RS group, n =10) and one without any regional block (control group, n=8). Multimodal analgesia was used for all. The main focus was on analysing pain intensity (NRS scale) 2, 6, 12 and 24 hours (h) after the surgery. A secondary objective was to analyse patient satisfaction (1–5 scale). SPSS, p< 0.05, Cramer’s V for clinical significance.Results Patients experienced the most severe pain 12 h after surgery. RS group showed lower rest pain - median RS 2.0 (Q1, Q3 0 – 3.5) vs. TAP 3.5 (Q1, Q3 1.7–4.2) vs. control 3.5 (Q1, Q3 – 0.5–5.0) and movement evoked pain - median RS 3.5 (Q1, Q3 1.7–6.0) vs. TAP 4.5 (Q1, Q3- 3.0–6.0) vs. control 7.0 (Q1, Q3- 4.5–8.0). A substantial variation in pain levels was identified 6 h after surgery when the RS and control groups were compared; P<0.05. Moreover, 87.5% control patients received opioids vs. 50% RS and 60% TAP patients. Highest satisfaction with pain relief was found in TAP/RS with 90% vs. 62% in control group.Conclusions RS patients experience overall less pain and opioid consumption 24 h after surgery, showing the highest difference after 6 h compared to patients without the block. Peripheral blocks therefore are useful to increase patient satisfaction with analgesia.",
  "authors": [
    {
      "affiliations": [
        "Riga East Clinical University Hospital, Riga, Latvia"
      ],
      "name": "Zane Činokajeva"
    }
  ],
  "title": "EP030 Efficacy of two abdominal blocks for transvesical prostate adenomectomy",
  "uid": "e34dcc46-a4eb-5c2f-9e4d-ddc2a3d51188"
}