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Intraoperative superior hypogastric plexus block for pain relief after a cesarean section: a case-control study. | LitMetric

Intraoperative superior hypogastric plexus block for pain relief after a cesarean section: a case-control study.

Croat Med J

Berna Haliloglu Peker, Maltepe University, Faculty of Medicine, Department of Obstetrics and Gynecology, Ataturk road, Çam street No:3/A, 34843 Maltepe, Istanbul, Turkey,

Published: October 2021

AI Article Synopsis

Article Abstract

Aim: To investigate the efficacy of intraoperative superior hypogastric plexus (SHP) block for postoperative pain relief in patients undergoing a cesarean section.

Methods: One hundred and fifteen pregnant women scheduled for an elective cesarean under general anesthesia were randomly divided into an SHP block (n=65) and a control group (n=50). SHP block was administered with bupivacaine injection. The controls received saline injection in the SHP area. Postoperative pain was assessed by the 10-cm visual analog scale (VAS). The presence of side effects and complications, including opioid or non-steroidal anti-inflammatory drugs (NSAID) requirement, gastrointestinal function, nausea, and vomiting were evaluated.

Results: The SHP block group had significantly lower VAS scores 2, 6, 24, and 48 hours postoperatively (P<0.001) and required a significantly lower rescue dose of NSAID or opioids (P=0.003, P<0.05, respectively).

Conclusions: SHP block may be an effective and safe pain relief treatment after a cesarean section.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8596475PMC
http://dx.doi.org/10.3325/cmj.2021.62.472DOI Listing

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