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Introduction/Background Rectus sheath block (RSB) is increasingly utilised as a part of multimodal analgesia in laparotomy surgeries. We proposed this study to compare the analgesic efficacy of ultrasound-guided bilateral RSB with local anaesthetic (LA) infiltration in patients undergoing midline laparotomy for gynecologic cancer. Methodology In our prospective, single-centre, three-blinded, randomized clinical trial, we enrolled a total of 60 patients with gynecologic malignancy undergoing surgery through a midline laparotomy at a tertiary referral hospital were randomized to either the LA infiltration (group L, n=30) or ultrasound-guided bilateral RSB (group R, n=30) with 20 ml of 0.25% bupivacaine end operatively. The categorical and ordinal variables were analysed using Chi-square/Fisher's exact test. The continuous and discrete variables were analysed using Mann-Whitney/independent Student t-test. P-values Results The mean numeric rating scale pain scores in the postoperative period were significantly lower with RSB when compared with LA. Postoperative numeric rating scale scores at 2nd (P=0.069), 6th (P=0.001), 12th (PConclusion The bilateral rectus sheath block might be an effective analgesic option for midline laparotomy. There was a significant prolonged time to first rescue analgesia with RSB. Disclosures None
Yediyıldız et al. (Fri,) studied this question.
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