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Intercostal nerve block with flank incision

D W Noller, J Y Gillenwater, S S Howards

    The Journal of Urology
    |June 1, 1977
    PubMed
    Summary
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    Intraoperative bupivacaine intercostal nerve blocks significantly reduced postoperative pain medication needs and accelerated recovery. Patients receiving the nerve block ambulated earlier and resumed a regular diet sooner than controls.

    Area of Science:

    • Anesthesiology
    • Surgical Recovery

    Background:

    • Postoperative pain management is crucial for patient recovery after flank incisions.
    • Intercostal nerve blocks are a regional anesthesia technique that may alleviate thoracic pain.

    Purpose of the Study:

    • To evaluate the efficacy of intraoperative bupivacaine intercostal nerve blocks in managing postoperative pain and recovery after T10-T12 flank incisions.

    Main Methods:

    • A prospective study involving 20 patients undergoing T10-T12 flank surgery.
    • Half of the patients received intraoperative bupivacaine intercostal nerve blocks; the other half served as controls.

    Main Results:

    • Nerve block group required significantly less pain medication (p < 0.001).
    • Patients receiving nerve blocks ambulated 3 days earlier (p < 0.001).

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  • Regular diet was resumed 2 days sooner in the nerve block group (p < 0.01).

    • Conclusions:

    • Intraoperative bupivacaine intercostal nerve blocks are effective in reducing postoperative pain.
    • This technique significantly improves early recovery metrics, including ambulation and diet resumption.