obesity
Conditions
Interventions
laparoscopic assisted transversus abdominis plane block group:laparoscopic assisted transversus abdominis plane block
ultrasound-guided transversus abdominis plane block group:ultrasound-guided transversus abdominis plane block
control group:no
Sponsors
Huadong Hospital affiliated to Fudan University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) Patients fully understand and accept laparoscopic sleeve gastrectomy and postoperative analgesia; (2) 18 years old =65 years old; (3) 27.5=BMI < 32.5; (4) Surgery can be considered after comprehensive evaluation if lifestyle changes and medical treatment are difficult to control, and at least 2 components of metabolic syndrome are met, or there are complications; (5) 32.5=BMI; (6) Patients with T2DM still have certain insulin secretion function; (7) No gastroesophageal reflux disease and hiatal hernia; (8) American Society of Anesthesiologists (ASA) score =3.
Exclusion criteria
Exclusion criteria: (1) The patient does not understand, agree or agree to enter the clinical trial; (2) Age >65 years, age <18 years; (3) Esophageal reflux disease and hiatal hernia; (4) The function of B cells in patients with T2DM was basically lost; (5) BMI < 27.5; (6) Patients with gestational diabetes mellitus and some special types of diabetes mellitus; (7) addicted to drugs or alcohol or suffering from uncontrollable mental illness; (8) Intellectual disability or intellectual immaturity, behavior can not control; (9) the expectation of surgery is not in line with the reality; (10) Unwilling to take the risk of potential surgical complications; (11) unable to cooperate with postoperative changes in diet and living habits, poor compliance; (12) Poor general condition, difficult to tolerate general anesthesia or surgery; (13) Laparoscopic weight-loss modification surgery; (14) Laparoscopic bariatric surgery was converted to open surgery; (15) American Society of Anesthesiologists (ASA) score =4.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS score 24 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| The dose of opioid analgesia used after surgery;the first leaving bed time after surgery;hospital stay after surgery; | — |
Countries
china
Contacts
Public ContactJianjun Yang
Huadong Hospital, Fudan University
Outcome results
None listed