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Item Erector spinae plane block versus transversus abdominis plane block in laparoscopic hysterectomy(Future Science Group, 2022-11) Warner, Matthew; Yeap, Yar Luan; Rigueiro , Gabriel; Zhang , Pengyue; Kasper , Kelly; Obstetrics and Gynecology, School of MedicineBackground: The objective was to determine whether an erector spinae plane (ESP) block could provide additional postoperative analgesic benefits compared with a transversus abdominis plane block. Methods: 78 patients were separated into two groups (n = 39 per group). Both groups received bilateral injections of 266 mg Exparel® (20 ml) and 60 ml of 0.125% bupivacaine. Patients undergoing a transversus abdominis plane block received these injections intraoperatively, while patients undergoing an ESP block received these preoperatively. Outcomes were measured based on scores in opioid usage; pain (visual analog scale) at rest and with movement; nausea; sedation and patient satisfaction. Results: There were no significant intergroup differences in any category (all scores had p > 0.05). Conclusion: No additional analgesic benefits were found using the ESP block procedure.