Gynecologic laparoscopic cases which were received M-TAPA puncturing at mid-axillary line in conjunction with general anesthesia.
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Gynecologic laparoscopic surgery patients undergoing mid-axillary M-TAPA in conjunction with general anesthesia in Hokkaido university hospital.
Exclusion criteria
Exclusion criteria: 1. ASA-PS >=3 2. Pregnancy 3. Allergy to local anesthetics 4. Communication difficulty 5. Existing neuropathy 6. Body weight <=45 kg 7. BMI >35 8. Past history of thoracotomy or laparotomy 9. Insufficient recovery of consciousness at 2 hours after surgery 10. Unexpected prolongation of surgical time of >6 hours 11. Other patients who are judged inappropriate by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anesthetized thoracoabdominal areas at 2 hours after surgery (The area innervated by anterior branch and lateral cutaneous branch are evaluated separately) | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain scores (NRS) induced by coughping at 2 hours after surgery. Additional analgesic requirements within 24 hours after surgery. Adverse events associated with Modified-TAPA. | — |
Countries
Japan
Contacts
Hokkaido university hospital Anesthesiology