gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Comparative study between auadratus lumborum block vs. transversus abdominis plane block for postoperative analgesia in patients undergoing cesarean section


Author(s): Ahmed Atef Mohammed*, Omar Mohammed Taha Elsafty, Karim Youssef Kamal Hakim and Mohamed Mourad Ali

Background: Ultrasound (US)-guided quadratus lumborum block (QLB) and transversus abdominis plane block (TAP) are used as a part of multimodal analgesia for postoperative pain after cesarean delivery.

Methods: Prospective randomized control study.

Results: QLB group showed significantly better visual analog score (VAS) scores from 6 h till 24 h Postoperative. Time for the first request for morphine was significantly longer in the QLB group (10.47 ± 4.6 hrs) than in the TAP group (7.40± 1.5 hrs.), (p < 0.001 and its total consumption was lesser (p=0.01) in the QLB group (4.30 ± 3.4 mg) than in TAP group (6.60 ± 3.4 mg). Moreover, only 3 patients (10%) in the QLB group experienced nausea and/or vomiting vs. 10 (33.3%) in TAP group with significant value.

Conclusion: QLB was more effective in providing visceral and somatic pain analgesia after cesarean section in comparison to TAP block with less incidence of postoperative nausea and/or vomiting