Quadratus Lumborum Block (QLB-LSAL) significantly reduces pain, anesthetic use, and accelerates recovery after laparoscopic myomectomy.
Enhanced Recovery and Postoperative Analgesia After Laparoscopic Myomectomy: A Randomized Controlled Trial Comparing Total Intravenous Anesthesia, Transversus Abdominis Plane Block with Rectus Sheath Block, and Quadratus Lumborum Block.
Background
<b>Laparoscopic myomectomy</b>, a common procedure for uterine fibroids, often leads to significant <b>postoperative pain</b>, particularly from <b>oxytocin-induced uterine contractions</b>. Inadequate analgesia can delay recovery, prolong hospital stays, and increase opioid consumption. Current general anesthesia protocols, even with adjuncts like transversus abdominis plane block (TAPB) and rectus sheath block (RSB), may not fully address the complex visceral and somatic pain components. This study explores whether quadratus lumborum block at the lateral supra-arcuate ligament (QLB-LSAL) offers a superior multimodal analgesia strategy to improve patient recovery and reduce anesthetic burden.