In patients who are candidates for colon cancer surgery.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 18 years or older Confirmed diagnosis of non-metastatic colon adenocarcinoma based on preoperative histopathological biopsy Candidates for non-emergency radical resection surgery, with or without stoma creation Feasibility of primary anastomosis during surgery (where applicable) Acceptable functional status classified as ASA physical status I, II, or III Provision of written informed consent Scheduled for open laparotomy
Exclusion criteria
Exclusion criteria: Known hypersensitivity or allergy to bupivacaine or magnesium sulfate History of cardiac surgery Left Ventricular Ejection Fraction (LVEF) 1 month prior to surgery. Severe cognitive, psychiatric, or language disorders impeding pain assessment or provision of informed consent. Drug addiction Refusal to provide informed consent. Myocardial infarction within the last 6 weeks. Severe liver failure or cirrhosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative surgical site pain. Timepoint: 2, 4, 6, 12, and 24 hours after surgery. Method of measurement: Using the Visual Analogue Scale.;Night sleep quality. Timepoint: Up to 72 hours after surgery and up to three measurements. Method of measurement: Pittsburgh Sleep Quality Questionnaire.;The incidence of neurotoxicity (paresthesia, motor or sensory blockade, seizures, respiratory failure, drowsiness). Timepoint: The first 24 hours after surgery. Method of measurement: Clinical examination and recording of incidence among individuals.;Number of times housing applications were made. Timepoint: The first 24 hours after surgery. Method of measurement: Counting the number of times housing applications are made.;Incidence of gastrointestinal complications(nausea, vomiting, cramps or abdominal pain). Timepoint: The first 24 hours after surgery. Method of measurement: Clinical examination and recording of incidence among individuals. | — |
Countries
Iran (Islamic Republic of)
Contacts
Hamedan University of Medical Sciences