Research Article

Erector Spinae Plane (ESP) Block for Postoperative Pain Management after Open Oncologic Abdominal Surgery

Table 3

Comparison of perioperative outcomes as median (IQR).

Control groupESP groupP value
(n = 50)(n = 50)

Length of hospital stay (days, median (IQR))4 (3–5)3 (2–5)0.68

VAS ascore postoperative (mg, median (IQR))
An admission to PACU0 (0)0 (0)0.15
At 60 min2 (2-3)1 (1-2)<0.001
At 4 hoursb4 (3-5)2 (1-3)<0.001
At 8 hours5 (4-5)3 (2-3)<0.001
At 12 hours5 (4.75–5.25)2 (2-3)<0.001
At 24 hours5 (4-5)5 (5-6)<0.001
At 48 hours3 (3-4)4 (3-4)0.01

Opioid postoperative treatment (mg, median (IQR))
An admission to PACU10 (10-10)10 (5–10)0.002
At 60 min10 (5–10)5 (0–5)<0.001
At 4 hours1 (0–3)0 (0)<0.001
At 8 hours1.5 (0–3)0 (0–0.75)<0.001
At 12 hours0 (0–3)0 (0)0.0017
At 24 hours0 (0–0.75)1.5 (0–3)0.002
At 48 hours0 (0)0 (0)0.15

Additional non-opioid postoperative analgesia cmanagement (n, median (IQR))
At 4 hours0 (0-1)0 (0)<0.001
At 8 hours1 (0-1)0 (0-1)<0.001
At 12 hours1 (0-1)0 (0)<0.001
At 24 hours0 (0-1)1 (0-1)0.159
At 48 hours1 (0-1)0 (0)<0.001

Control group: patients received standard pain control treatment; ESP group: patients received ESP block in addition to standard pain control treatment. Data are considered statistically significant if . aVAS: Visual Analog Scale for pain assessment. bAt the regular general surgery ward. cNon-opioid postoperative analgesic management includes 125 mg IV tramadol + 1.25 g PO metamizole.