EFFICIENCY AND SAFETY OF BILATERAL ULTRASOUND RECTUS SHEATH BLOCK IN URGENT LAPAROTOMY.

58 patients who underwent urgent laparotomy were included in this randomized controlled study. The efficacy and safety of bilateral ultrasound rectus sheath block of ropivacaine with systemic analgesia in comparison with only systemic analgesia were assessed. Rectus sheath block reduces the pain intensity and the consumption of opioids and declines the incidence of the adverse effects, therefore improving the quality of analgesia and postoperative comfort ofpatient.

[COMPARISON OF THE EFFECTIVENESS OF ILIOINGUINAL-ILIOHYPOGASTRIC BLOCKADE AND TRANSVERSUS ABDOMINIS PLANE BLOCK FOR ANALGESIA AFTER CESAREAN SECTION].

In this prospective randomized study we compared the analgesic efficacy of the ilioinguinal-iliohypogastric nerves block and transversus abdominis plane block for analgesia after caesarean delivery performed by suprapubic laparotomy. The study includes 164 healthy women with ASA status I-II class, undergoing elective surgery under spinal anaesthesia. During the first postoperative hour patients in the "block's" groups received ultrasound-guided blocks of the anterior abdominal wall with ropivacaine 100 mg both.

[Epidural analgesia in the first stage of labor--is there an alternative?].

Objective: To evaluate the influence of epidural analgesia and lumbar paravertebral block on the structure of the delivery, the fetus and newborn, and the quality and duration of analgesia.

Materials And Methods: Patients were randomized into three groups, 30 patients in each group. In the group-1 patients received epidural analgesia (EA), in the group-2--paravertebral block (PVB), in the group-3 patients refused pain relief in labor.

[Effect of early multimodal rehabilitation on postoperative recovery after abdominal hysterectomy].

Unlabelled: Purpose of the study was to evaluate the impact of the use of enhanced recovery after surgery for the postoperative period, and the inflammatory response after hysterectomy.

Introduction: Methods Prospectively, 50 patients ASA 1-2 aged 42-72 years were randomized into two groups: the ERAS group (n = 25) and the control group (CG) with traditional perioperative management (n = 25). combined spinal and epidural anesthesia technique was used in all patients.

[Intralesional administration of local anaesthetics after abdominal hysterectomy: is another technique of analgesia needed?].

The efficacy and safety of continuous wound infiltration with Ropivacaine in combination with systemic anaesthesia were assessed in randomized controlled trial in 60 patients after open hysterectomy. In the trial wound administration of Ropivacaine reduced the postoperative consumption of opioids and the intensity of pain syndrome and reduced the frequency of side effects of narcotic analgesics.