Evaluation of the effect of quadratus pumps on postoperative analges in total abdominal hysterectomy

In this study, it was aimed to evaluate the effect of quadratus lumborum block (QLB) on postoperative analgesia in patients who underwent total abdominal hysterectomy. A total of 50 patients who underwent abdominal hysterectomy under general anesthesia and underwent QLB surgery and underwent abdominal hysterectomy surgery were included in the study. The age, weight, height, sagittal scores, postoperative heart rate, systolic and diastolic blood pressures, 1st, 2nd, 6th, 12th and 24th hour VAS values, additional analgesia requirement, complications or side effects, patient and surgeon satisfaction values were compared. Postoperative 1., 2., 4., 12., 24. hour VAS values and opioid use in the first 24 hours postoperatively were significantly higher in group K( control). Patient and surgeon satisfaction was significantly higher in group QLB. Postoperative blood pressures, heart rate, duration of operation, ASA, operation time were similar in both groups. In our study, it was determined that the patients who were treated with QLB had decreased the amount of analgesic consumed in 24 hours, the VAS scores decreased, and patient and surgeon satisfaction increased. We believe that QLB is an alternative to traditional analgesic methods because it is an alternative, safe and effective method for reducing pain and opioid withdrawal in patients undergoing ultrasound-assisted abdominal surgery. However, due to the limited number of patients and studies in the literature, it has been concluded that the number of patients and the number of studies should increase. Key words: Quadratus Lumborum Block (QLB), Visuel Analog Scale (VAS)