Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.02.014
Brazilian Journal of Anesthesiology
Case Report

Ultrasound-guided quadratus lumborum block for surgical treatment of endometriosis: case report

Bloqueio do Quadrado Lombar guiado por ultrassom para tratamento cirúrgico de endometriose: relato de caso

Idelberto do Val Ribeiro-Junior, Luiz Gustavo Oliveira Brito, Maíra Rossmann-Machado, Rose Luce Gomes do Amaral, Angélica F.A. Braga, Vanessa Henriques Carvalho

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Abstract

Quadratus lumborum block (QLB) is a technique that is not widely applied for gynaecological surgery. Endometriosis affects 10% of the female population and chronic pelvic pain is one of the most prevalent symptoms. Laparoscopic surgery for removal of endometriosis may present a long intra-operative duration and this technique might improve postoperative pain control. We described a case report of a patient submitted to general anaesthesia associated to bilateral QLB for pelvic endometriosis. QLB was an adjuvant anaesthetic technique for endometriosis, providing somatic and visceral analgesia. However, prospective studies are needed to identify the standard dosage and total duration of analgesia.

Keywords

Endometriosis;  VAS;  Gynaecology;  Quadratus lumborum block

References

1 H. Elsharkawy, K. El-Boghdadly, M. Barrington Quadratus lumborum block: anatomical concepts, mechanisms, and techniques Anesthesiology, 130 (2019), pp. 322-335

2 R. Blanco TAP block under ultrasound guidance: The description of a ‘nonpopstechnique’ 173 Reg Anaesth Pain Med., 32 (Suppl 1) (2007), p. 130

3 R. Blanco, T. Ansari, E. Girgis Quadratus lumborum block for postoperative pain after caesar ean section: a randomised controlled trial Eur J Anaesthesiol., 32 (2015), pp. 812-818

4 L.C. Giudice Clinical practice. Endometriosis N Engl J Med, 362 (2010), pp. 2389-2398

5 N.K. Yousef Quadratus lumborum block versus transversus abdominis plane block in patients undergoing total abdominal hysterectomy: a randomized prospective controlled trial Anesthesia: Essays and Researches., 12 (2018), pp. 742-747
 

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Braz J Anesthesiol

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