Effect of Rectus Sheath Block on Postoperative Quality of Recovery After Transabdominal Midline Gynecological Surgery: A Randomized Controlled Trial

Figures & data

Table 1 Demographic Characteristics of the Participants

	Group C (n=45)	Group R (n=45)	P
Age (year)	46.0±8.3	46.2±9.6	0.897
BMI (kg/m^2)	24.4±2.6	23.4±2.9	0.096
ASA physical status I/II	13/32	21/24	0.127
Type of surgery			0.726
Total hysterectomy with double adnexa	17	12
Radical cervical surgery for cervical cancer	7	9
Myomectomy	14	16
Ovarian tumor resection	7	8

Notes: Data are reported as the mean (standard deviation), median (interquartile range), or number of patients (%) as appropriate.

Abbreviations: ASA, American Society of Anesthesiologists; BMI, body mass index.

Figure 1 CONSORT flowchart describing patient progress throughout the study.

Table 2 Intraoperative Data

	Group C (n=45)	Group R (n=45)	P
Anesthesia time (min)	115.0(102.3–140.5)	126.0(106.5–145.7)	0.406
Operation time (min)	100.0(85.5–122.5)	110.0(87.0–128.0)	0.534
Crystalline liquid (mL)	1100.0(825.0–1100.0)	1100.0(1000.0–1100.0)	0.576
Colloidal liquid (mL)	500.0(500.0–500.0)	500.0(500.0–500.0)	0.323
Urine output (mL)	200.0(175.0–350.0)	300.0(200.0–500.0)	0.101
Intraoperative propofol (mg)	500(405.0–665.0)	550.0(455.0–650.0)	0.298
Intraoperative sufentanil (μg)	40.0(35.0–40.0)	40.0(35.0–40.0)	0.392
Intraoperative remifentanil (μg)	900.0(745.0–1200.0)	0.0(0.0–350.0)	<0.001

Notes: Data are reported as the mean (standard deviation), median (interquartile range), or number of patients (%) as appropriate.

Figure 2 Global QoR-40 scores of two groups. The data are reported as the mean (SD) in each group.

Abbreviations: PRE, preoperative; POD1, postoperative day 1; POD3, postoperative day 3.

Table 3 Postoperative Data

	Group C (n=45)	Group R (n=45)	P
Duration of PACU stay (min)	50.0(45.0–60.0)	45.0(37.0–55.0)	0.047
Global QoR40 scores	155.0(150.0–157.0)	165.0(159.5–170.0)	<0.001
Emotional status	38.0(32.0–42.0)	38.0(32.0–41.5)	0.875
Physical comfort	44.0(42.5–45.0)	50.0(48.0–52.0)	<0.001
Physical independence	17.0(15.0–18.0)	17.0(17.0–18.0)	0.186
Psychological support	27.0(26.0–28.5)	27.0(27.0–28.0)	0.810
Pain	28.0(27.0–29.0)	33.0(32.0–33.5)	<0.001
PONV (%)	12 (26.7%)	9 (20.0%)	0.619
Time to first flatus (h)	35.0(26.5–45.0)	27.0(22.5–35.0)	0.009
Time to first discharging from bed (h)	27.0(22.0–34.0)	24.0(21.0–27.5)	0.035
Patient satisfaction	9(9–10)	8(7–8)	<0.001

Notes: Data are reported as the mean (standard deviation), median (interquartile range), or number of patients (%) as appropriate.

Abbreviations: PACU, post-anesthesia recovery unit; QoR 40, quality of recovery 40; PONV, postoperative nausea and vomiting.

Table 4 Results of Multiple Linear Regression Analysis

	β	SE	t	P	LCI	UCI
(Constant)	140.58	11.63	12.08	0.000	117.45	163.72
Age	0.10	0.14	0.73	0.467	−0.18	0.39
Group R*	9.95	3.18	3.13	0.002	3.62	16.28
Intraoperative Remifentanil	0.00	0.00	−0.07	0.943	−0.01	0.01
BMI	−0.09	0.45	−0.20	0.844	−0.99	0.81

Notes: Dependent variable: QoR40; *group C is control group.

Data Sharing Statement

The authors declare that all data in the manuscript can be accessed upon request (contact e-mail: [email protected]).