Akademik Veri Yönetim Sistemi
4th National ERAS Meeting with Joint International Meeting of ERAS, İstanbul, Türkiye, 18 - 20 Eylül 2025, sa.1, ss.46, (Özet Bildiri)
Pub No: OP-01 Effects of Quadratus Lumborum Block (QLB) on Postoperative Pain Management in Patients Undergoing Hysterectomy Gamze Kübra Zelyurt1, Didem Tuba Akçalı1, Nuray Camgöz Eryılmaz1, Esra İşçi Bostancı2, Erhan Demirdağ2, Berrin Günaydın1 1gazi üniversitesi tıp fakültesi anesteziyoloji ve reanimasyon anabilim dalı 2gazi üniversitesi tıp fakültesi kadın hastalıkları ve doğum anabilim dalı Introduction / Purpose: Patients undergoing hysterectomy often experience severe postoperative pain. Poor pain control prolongs hospital stays and negatively affects life quality of patient satisfaction. Since postoperative pain severity following hysterectomy could not be adequately controlled with only intravenous (IV) analgesics, investigated the impact of the ultrasound guided Quadratus Lumborum Block (QLB) on postoperative pain management as part of a multimodal analgesia. Materials and Method: After obtaining approval from the Ethics Committee, data of patients who underwent total abdominal hysterectomy (TAH) and total laparoscopic hysterectomy (TLH) under general anesthesia were retrospectively reviewed. Data revealed that QLB was performed bilaterally using 25.% bupivacaine 30 ml following general anesthesia induction. Use of peroperative IV analgesic protocol for both groups included total remifentanil consumption, incidence of bradycardia, postoperative nausea & vomiting (PONV) and pain scores which were evaluated by visual analog scale (VAS) between 0 to 10 were documented from anesthesia records.All the data were compared between the two groups. A p value less than 0.05 was considered as statistically significant. Findings: VAS at postoperative 0 and 1 hours were significantly lower in the QLB group compared to non QLB group (p < 0.05). Besides, patients who underwent TAH had higher VAS scores at 0 and 1 hours compared to those who underwent TLH, even if the QLB was present . In the QLB group, remifentanil consumption markedly reduced, while no significant difference was observed in the incidence of bradycardia between the groups Dıscussion / Conclusion: We demonstrated that presence of QLB was an effectively provided postoperative pain relief after hysterectomy and reduced peroperative remifentanil consumption. Therefore, the QLB can be recommended for optimizing postoperative relief for better recovery within the framework of Enhanced Recovery After Surgery (ERAS) protocols.
Keywords: QLB, hysterectomy, postoperative analgesia, pain