Özet:

AIM: The purpose of this study was to investigate the effect of the modified thoracolumbar interfacial plane block(TLIP) on postoperative analgesia and quality of recovery in patients undergoing lumbar disk surgery. Method: Ninety patients undergoing herniated lumbar disk surgery were divided into a control group(Group C) and a modified TLIP block group(Group T).Controlled analgesia was administered to both groups. Pain evaluation was performed at 30min and at 1,2,4,8,12, and 24h using a VAS scale, with patients at rest and during movement. Fentanyl use was recorded over 24h, and patients completed the QoR-40 quality of recovery inventory. Results: Twenty-four-hour fentanyl consumption was 742.5±220.3 mcg in Group C and 446.0±241.98 in Group T. Postoperative fentanyl consumption was statistically significantly lower in Group T(p=0.000). The patient’s pain, physical independence, physical comfort, psychological support, and emotional support were evaluated with the QoR-40. Significant differences in favor of Group T were observed (p=0.000,p=0.017,p=0.002,p=0.001 and p=0.000, respectively). Static and dynamic pain scores in Group C and Group T were recorded at 30 min and at 1,2,4,8,12, and 24h. Mean static scores were statistically in favor of Group T with the exception of 8 and 12h (p<0.05).Dynamic scores were statistically significantly in favor of Group T at all time points (p<0.05). Conclusion: Pain scores, opioid consumption and QoR-40 values after herniation of lumbar disk surgery were superior in the group undergoing TLIP. We think that the modified TLIP block may be an important method in terms of postoperative analgesia and patient recovery for lumbar spinal disk surgery.

Anahtar Kelimeler: