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Medicina
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Regional and Local Anesthesia for Enhancing Recovery After Surgery
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Regional and Local Anesthesia for Enhancing Recovery After Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Intensive Care/ Anesthesiology".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 828

Special Issue Editors

Dr. Sang Hyun Hong

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Guest Editor
Department of Anesthesiology and Pain Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Interests: regional analgesia; liver transplantation; enhanced recovery after surgery; general anesthesia; colorectal cancer surgery; minimally invasive surgery
Dr. Jung-Woo Shim

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Guest Editor Assistant
Department of Anesthesiology and Pain Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Interests: regional analgesia; pediatric anesthesia; enhanced recovery after surgery; general anesthesia; colorectal cancer surgery; minimally invasive surgery

Special Issue Information

Dear Colleagues,

Recent studies on Enhanced Recovery After Surgery programs have highlighted the importance of multimodal analgesia in improving both pain management and overall recovery. By using a combination of medications and techniques, multimodal analgesia effectively manages pain while reducing reliance on opioids. Notably, regional anesthesia plays a crucial role in multimodal analgesia by reducing the stress response to surgery and minimizing the need for opioid pain medications. This leads to faster mobilization, fewer side effects, and less postoperative pain, allowing for a more comfortable recovery.

Given the importance of pain control in perioperative care, Medicina is launching a Special Issue, entitled “Regional and Local Anesthesia for Enhancing Recovery After Surgery”, with the aim of gathering accurate and up-to-date scientific information on all aspects of regional analgesia/anesthesia to promote recovery from surgery. We are pleased to invite you and your colleagues to submit your original research articles and manuscripts focusing on a multimodal analgesic approach, including regional interventions, to surgical care.

Dr. Sang Hyun Hong
Guest Editor

Dr. Jung-Woo Shim
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • regional analgesia
  • regional anesthesia
  • multimodal analgesia
  • perioperative care
  • enhanced recovery after surgery
  • minimally invasive surgery

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Research

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12 pages, 677 KiB  
Article
Efficacy of Quadratus Lumborum Block for Postoperative Pain Management in Single-Port Total Laparoscopic Hysterectomy: A Randomized Observer-Blinded Controlled Trial
by Jihyun Chung, Seunguk Bang, Sangmook Lee, Youngin Lee, Hyun-Jung Shin and Yoonji Park
Medicina 2025, 61(4), 702; https://doi.org/10.3390/medicina61040702 - 11 Apr 2025
Viewed by 521
Abstract
Background and Objectives: Quadratus lumborum block (QLB) is a regional anesthesia technique widely utilized in multimodal analgesia strategies for abdominal surgeries. While a few studies have investigated its efficacy in multiport total laparoscopic hysterectomy (TLH), its effectiveness in single-port TLH remains uncertain. [...] Read more.
Background and Objectives: Quadratus lumborum block (QLB) is a regional anesthesia technique widely utilized in multimodal analgesia strategies for abdominal surgeries. While a few studies have investigated its efficacy in multiport total laparoscopic hysterectomy (TLH), its effectiveness in single-port TLH remains uncertain. This study aimed to evaluate whether QLB reduces opioid consumption and postoperative pain in patients undergoing single-port TLH. Materials and Methods: This randomized, controlled, observer-blinded trial included 64 patients undergoing elective single-port TLH. Participants were randomly allocated to either the QLB group (n = 27) or the control group (n = 29). QLB was performed bilaterally under ultrasound guidance after surgery. The primary outcome was cumulative fentanyl consumption within 24 h postoperatively. Secondary outcomes included pain scores at predefined intervals, time to first opioid demand, the incidence of postoperative nausea and vomiting (PONV), and other complications. Results: The 24 h cumulative fentanyl consumption, which was the primary outcome, did not differ significantly between the QLB group, 342.8 [220, 651] mcg, and the control group, 470 [191.6, 648.1] mcg (p = 0.714). Similarly, cumulative fentanyl consumption at other time points, including 2 h, 4 h, 8 h, 12 h, 32 h, and 48 h, as well as in the PACU, also showed no significant differences between the two groups. Pain scores measured at these time points, along with the time to first bolus on demand, were comparable between groups. However, PONV occurred more frequently in the QLB group than in the control group (25.9% vs. 3.4%, p = 0.023). Conclusions: QLB did not significantly reduce opioid consumption, time to first opioid demand, or postoperative pain scores in single-port TLH. However, PONV occurred more frequently in the QLB group. These findings suggest that QLB may have limited analgesic benefits in single-port TLH. Full article
(This article belongs to the Special Issue Regional and Local Anesthesia for Enhancing Recovery After Surgery)
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Review

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13 pages, 786 KiB  
Review
Serratus Anterior Plane Block for Pain Management After Video-Assisted Thoracoscopic Surgeries: A Narrative Review
by Shahab Ahmadzadeh, Macie A. Serio, Angela Nguyen, Drew R. Dethloff, Camille Robichaux, Chizoba N. Mosieri, Sahar Shekoohi and Alan D. Kaye
Medicina 2025, 61(6), 1010; https://doi.org/10.3390/medicina61061010 - 28 May 2025
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Abstract
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive diagnostic and therapeutic procedure utilized in various thoracic conditions. VATS has grown in popularity with ever-expanding knowledge of enhanced recovery after surgery (ERAS) protocols and its benefits regarding patient care and outcomes. Pain control following [...] Read more.
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive diagnostic and therapeutic procedure utilized in various thoracic conditions. VATS has grown in popularity with ever-expanding knowledge of enhanced recovery after surgery (ERAS) protocols and its benefits regarding patient care and outcomes. Pain control following VATS is of utmost importance to minimize the complication risk. Options for pain control following VATS have traditionally included systemic IV analgesia but have evolved to include loco-regional analgesia as well. The serratus anterior plane block (SAPB) is one form of loco-regional analgesia utilized in VATS that has been shown to provide effective pain control of the anterolateral chest wall. Patients who received SAPB compared to control methods of anesthesia demonstrated significant decreases in postoperative pain and postoperative opioid consumption. SAPB is effective and offers a promising safety profile as the block is typically more superficial than other types of loco-regional analgesia. This review outlines the recent literature surrounding the use of SAPB for pain control in VATS. Full article
(This article belongs to the Special Issue Regional and Local Anesthesia for Enhancing Recovery After Surgery)
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