الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Many complications as Postoperative pain, ileus, nausea and vomiting are common after total abdominal hysterectomy surgery. Acute postoperative pain following surgery is a major risk factor for the development of persistent postoperative pain, hence; proper perioperative pain management is crucial in preventing these complications.
Opioids are primarily used to treat immediate postoperative pain, but depending on them alone can cause a variety of adverse effects such as pruritis, drowsiness, nausea, vomiting, and respiratory depression. Despite the fact that thoracic epidural analgesia is linked with major consequences such as pneumothorax, haemodynamic instability and complete spinal anaesthesia blockade, they have become the gold standard procedure for analgesia. The use of ultrasound guidance for regional anaesthesia has resulted in a surge in the number of new interfascial plane blocks in which LAs are delivered to achieve surgical anaesthesia or postoperative analgesia.