Comparison of two approaches of Quadratus Lumborum Block for Peri Operative Analgesia in patients undergoing Total Laparoscopic Hysterectomy – A Randomised Double-Blind Controlled Study

Total LaparoscopicHysterectomy is one of the regularly done laparoscopic surgeries in many partsof the world. The postoperative painfollowing Total Laparoscopic Hysterectomy might be because of pneumoperitoneum,intra-abdominal peritoneal stretching and from operated area in pelvic region,which is mainly visceral type. Thus, single mode of analgesia, most commonly byNSAIDS or Opioids is not enough for the patient to have a smooth postoperativerecovery. The quadratus lumborum block is anew abdominal truncal block used for analgesia of both the upper and lowerabdominal surgeries. Quadratus lumborum block allows the local spread of drugsbetween the posterior aspect of muscle and middle layer of thoracolumbarfascia. The Hypothesis of this study is that Quadratus Lumborum Type III block will provide better perioperative analgesia and decrease the total analgesic consumption in postoperative period.