About this trial
This study is being done to see if preoperative transversus abdominis plane (TAP) analgesia will provide similar postoperative pain control, hospital length of stay, and postoperative outcomes compared to surgeon-initiated wound infiltration with local anesthetic in participants undergoing laparotomy for gynecologic indications.
Eligibility criteria
Qualifiers
Ability to understand and the willingness to sign a written informed consent document
Patients undergoing exploratory laparotomy via midline vertical skin incision for gynecologic indications at UW Hospital and Clinics
Patients must be >18 years old
English speaking (able to provide consent and complete questionnaires)
Disqualifiers
Known allergy to local anesthetics.
Known history of chronic pain disorders and/or chronic opioid use defined as greater than 10mg of PO morphine or equivalent used daily for at least 30 days prior to enrollment.
Patient has a history of opioid dependence requiring rehabilitation or the use of opioid antagonists.
Patients with a planned exploration with biopsies (no organs removed) will be excluded from the study.
Trial design
Treatments tested in this trial
- TAP Anesthesia
- Surgeon-Initiated Local Anesthetic