Background normal saline) and Group B (intervention; bupivacaine) injected into the uterosacral ligaments at the end of TLH. Postoperative pain was assessed using the Visual Analogue Scale (VAS) at multiple time points up to two weeks. Secondary outcomes included narcotic and anti-emetic consumption, time to mobilization, and patient satisfaction. Version 23.0 of IBM©, SPSS© Statistics was used for data analysis. P<0.05 was considered significant.Results: Group B reported significantly lower VAS scores from 30 minutes to 24 hours postoperatively (P<0.001), and continued improvement up to two weeks. Pain reduction was consistently greater in the bupivacaine group. Patient satisfaction was significantly higher in Group B (P=0.022). No adverse events or delays in mobilization were noted.Conclusion: Pre-sacral nerve block with bupivacaine significantly reduces postoperative pain and improves patient satisfaction in TLH, supporting its integration into routine analgesia protocols.
Elhawwary et al. (Sun,) studied this question.