The Lumbosacral Erector Spinae Plane Block for Abdominal Hysterectomy: A Case Report

Francesco Marrone; Tommaso Sorrentino; Pierfrancesco Fusco; Maria Eleonora Monte; Saverio Paventi; Marco Tomei; Fabrizio Fattorini; Carmine Pullano

doi:10.7759/cureus.72705

The Lumbosacral Erector Spinae Plane Block for Abdominal Hysterectomy: A Case Report

Cureus. 2024 Oct 30;16(10):e72705. doi: 10.7759/cureus.72705. eCollection 2024 Oct.

Authors

Francesco Marrone^{1

2

3}, Tommaso Sorrentino⁴, Pierfrancesco Fusco⁵, Maria Eleonora Monte⁶, Saverio Paventi^{7

8}, Marco Tomei⁸, Fabrizio Fattorini⁹, Carmine Pullano¹⁰

Affiliations

¹ Anesthesia, Santo Spirito Hospital, Rome, ITA.
² Faculty of Medicine, Cattolic University Rome, Rome, ITA.
³ Faculty of Medicine, Sapienza University Rome, Rome, ITA.
⁴ Anesthesia, San Giovanni di Dio Hospital, Crotone, ITA.
⁵ Anesthesia and Intensive Care Unit, San Filippo e Nicola Hospital, Avezzano, ITA.
⁶ Anesthesia, Magna Graecia University, Catanzaro, ITA.
⁷ Faculty of Medicine, Sapienza University of Rome, Rome, ITA.
⁸ Anesthesiology and Critical Care, Santo Spirito Hospital, Rome, ITA.
⁹ Anesthesiology, Sapienza University Rome, Rome, ITA.
¹⁰ Anesthesia, Villa Pia Clinic, Rome, ITA.

Abstract

After major abdominal surgery and open hysterectomy, postoperative pain management is often challenging. Various abdominal fascial and truncal blocks, including paravertebral, erector spinae plane, transversus abdominis plane, and quadratus lumborum blocks, have been evaluated for their efficacy. When used in a multimodal pain control strategy, after an open abdominal hysterectomy under spinal anesthesia, the novel sacral erector spinae plane block showed promising results in terms of safety, efficacy, and minimal invasiveness.

Keywords: analgesia; fascial blocks; hysterectomy; postoperative pain; sacral erector spinae.

Publication types

Case Reports