The Lumbosacral Erector Spinae Plane Block for Abdominal Hysterectomy: A Case Report.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2024-10-30 eCollection Date: 2024-10-01 DOI:10.7759/cureus.72705
Francesco Marrone, Tommaso Sorrentino, Pierfrancesco Fusco, Maria Eleonora Monte, Saverio Paventi, Marco Tomei, Fabrizio Fattorini, Carmine Pullano
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Abstract

After major abdominal surgery and open hysterectomy, postoperative pain management is often challenging. Various abdominal fascial and truncal blocks, including paravertebral, erector spinae plane, transversus abdominis plane, and quadratus lumborum blocks, have been evaluated for their efficacy. When used in a multimodal pain control strategy, after an open abdominal hysterectomy under spinal anesthesia, the novel sacral erector spinae plane block showed promising results in terms of safety, efficacy, and minimal invasiveness.

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腰骶部棘突平面阻滞用于腹部子宫切除术:病例报告。
在大型腹部手术和开腹子宫切除术后,术后疼痛治疗往往具有挑战性。各种腹部筋膜和躯干阻滞(包括椎旁、竖脊平面、腹横肌平面和腰四肌阻滞)的疗效已得到评估。在脊髓麻醉下进行开腹子宫切除术后,在多模式疼痛控制策略中使用新型骶骨竖脊平面阻滞时,在安全性、有效性和微创性方面都显示出良好的效果。
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