Compare the Effects of Transversalis Fascia Plane Block versus Intravenous Lidocaine Infusion on the Quality of Early Postoperative Recovery in Patients Undergoing Gynecologic Laparoscopic Surgery.

Objective: To compare the effects of transversalis fascia plane (TFP) block versus intravenous lidocaine infusion on early recovery after gynecologic laparoscopic surgery. Methods: In this randomized trial, 59 patients were assigned to: Group L (n = 30): Intravenous lidocaine (bolus 1.5 mg/kg followed by 25 μg/kg/min infusion); Group T (n = 29): Bilateral ultrasound-guided TFP block with 40 mL of 0.33% ropivacaine. Both groups underwent standardized general anesthesia and patient-controlled intravenous analgesia (PCIA). The primary outcome was quality of recovery-15 (QoR-15) scores on postoperative day 1 (POD1). Secondary outcomes included numerical rating scale (NRS), PCIA demand, inflammatory markers (IL-6, TNF-α), time to first flatus, and adverse events. Results: No significant differences were observed in QoR-15 scores, intraoperative drug consumption, pain scores, PCIA demand, inflammatory markers, or adverse events (P > 0.05). However, Group L exhibited a shorter time to first flatus (P < 0.05). Conclusion: TFP block and lidocaine infusion provided comparable recovery quality, though lidocaine may accelerate gastrointestinal recovery.