Gynecologic Oncology Robotic-Assisted Hysterectomy: Medical center in Minnesota
- 60 adult patients undergoing robotic-assisted hysterectomy: 30 received a transversus abdominis plane block with EXPAREL, and 30 did not receive a TAP block
- Retrospective observational study
- All patients received intraoperative and postsurgical opioids
- 3.3% of patients in the TAP block EXPAREL group had a postsurgical complication, compared with 20% in the group of patients who did not receive a TAP block
Clinical and Economic Outcomes
In patients who received EXPAREL for analgesia
over first 24 hours after infiltration
- 5 vs 7 on 11-point scale*
- 11.5 vs 27.7 hours (P>0.0001)
of nausea or
- 20% vs 53.3% (P=0.02)
*Difference in pain scores remained statistically significant after adjustments for potential confounders (P=0.004).
†The use of EXPAREL in combination with epinephrine is not part of the approved label.
TAP, transversus abdominis plane; LOS, length of stay.