Post-cesarean analgesia: transversalis fascia plane block versus wound infiltration in a randomized trial.
- 1Marmara University, Pendik Training and Research Hospital, Department of Anesthesiology and Reanimation - Istanbul, Turkey.
- 2Marmara University, School of Medicine, Department of Anesthesiology and Reanimation - Istanbul, Turkey.
Abstract
Objective
The aim of this study was to compare ultrasound-guided transversalis fascia plane block with local wound infiltration using equivalent local anesthetic doses within a standardized multimodal analgesia protocol.Methods
This prospective, single-blind randomized trial was conducted between May and June 2024 at a tertiary care hospital. Women with American Society of Anesthesiologists physical status II-III undergoing cesarean delivery under spinal anesthesia received either bilateral ultrasound-guided transversalis fascia plane block or local wound infiltration with the same total dose and volume of bupivacaine. All patients were managed with standardized multimodal analgesia. Patients with contraindications to the study interventions or inability to use patient-controlled analgesia were excluded. The primary outcome was 24-h opioid consumption. Secondary outcomes included pain scores, rescue analgesia use, opioid-related adverse events, and complications.Results
Forty-two patients (n=21/group) were analyzed. Twenty-four-hour opioid consumption was similar between transversalis fascia plane block and local wound infiltration groups (median 100 [65-152] mg vs. 85 [65-135] mg; p=0.554). Pain scores remained low and comparable throughout 48 h. Rescue analgesia was rarely required, and no postoperative nausea, opioid-related adverse events, or procedure-related complications were observed.Conclusion
In a standardized multimodal analgesia setting after cesarean delivery, transversalis fascia plane block did not reduce opioid consumption or improve postoperative pain scores compared with local wound infiltration.
Related
- Clinical Effects of Low-Dose Esketamine During Emergency Conversion From Labor Epidural Analgesia to Category I Cesarean Section: A Randomized Controlled Trial of Maternal Hemodynamics, Analgesia, Sedation, and Neonatal Outcomes
- Dose-Response Effects of Intravenous Dexamethasone as an Adjunct to Transversus Abdominis Plane Block for Postoperative Analgesia After Cesarean Delivery: A Randomized, Double-Blind, Placebo-Controlled Trial.
- Optimizing Post-operative Analgesia for Early Rehabilitation after Orthopedic Knee Surgery: A Randomized Comparison of Adductor Canal, Infiltration between the Popliteal Artery and Capsule of the Posterior Knee and Genicular Nerve Blocks.
- Effectiveness of local infiltration analgesia and femoral nerve block in primary total knee arthroplasty: A prospective, participant and outcome-assessor-blinded randomized trial
- Local infiltration anesthesia combined with S-ketamine for cesarean delivery in a parturient with diaphragmatic hernia and severe scoliosis: a case report.
BibTeX
@article{teomete2026postcesarean,
title = {{Post-cesarean analgesia: transversalis fascia plane block versus wound infiltration in a randomized trial.}},
author = {Gülşen Cebecik Teomete and Ecem Güçlü Öztürk and Irmak Çimenoğlu and Merve Ergenç and Beliz Bilgili},
journal = {Revista da Associacao Medica Brasileira (1992)},
year = {2026},
month = oct,
doi = {10.1590/1806-9282.20260662},
url = {https://europepmc.org/article/MED/42912066},
note = {CC BY},
}
RIS
TY - JOUR
TI - Post-cesarean analgesia: transversalis fascia plane block versus wound infiltration in a randomized trial.
AU - Gülşen Cebecik Teomete
AU - Ecem Güçlü Öztürk
AU - Irmak Çimenoğlu
AU - Merve Ergenç
AU - Beliz Bilgili
PY - 2026
DA - 2026/10/16
JO - Revista da Associacao Medica Brasileira (1992)
DO - 10.1590/1806-9282.20260662
UR - https://europepmc.org/article/MED/42912066
AB - Objective The aim of this study was to compare ultrasound-guided transversalis fascia plane block with local wound infiltration using equivalent local anesthetic doses within a standardized multimodal analgesia protocol.Methods This prospective, single-blind randomized trial was conducted between May and June 2024 at a tertiary care hospital. Women with American Society of Anesthesiologists physical status II-III undergoing cesarean delivery under spinal anesthesia received either bilateral ultrasound-guided transversalis fascia plane block or local wound infiltration with the same total dose and volume of bupivacaine. All patients were managed with standardized multimodal analgesia. Patients with contraindications to the study interventions or inability to use patient-controlled analgesia were excluded. The primary outcome was 24-h opioid consumption. Secondary outcomes included pain scores, rescue analgesia use, opioid-related adverse events, and complications.Results Forty-two patients (n=21/group) were analyzed. Twenty-four-hour opioid consumption was similar between transversalis fascia plane block and local wound infiltration groups (median 100 [65-152] mg vs. 85 [65-135] mg; p=0.554). Pain scores remained low and comparable throughout 48 h. Rescue analgesia was rarely required, and no postoperative nausea, opioid-related adverse events, or procedure-related complications were observed.Conclusion In a standardized multimodal analgesia setting after cesarean delivery, transversalis fascia plane block did not reduce opioid consumption or improve postoperative pain scores compared with local wound infiltration.
SN - 0104-4230
SN - 1806-9282
ER -