Postoperative Pain
Conditions
Keywords
transversus abdominis plane block, Rectus sheath block, Robot-assisted laparoscopic prostatectomy
Brief summary
In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.
Detailed description
Robotic-assisted laparoscopic prostatectomy (RALP) is a minimally invasive and superior technique that provides better visualization and maneuverability compared to open and laparoscopic surgical techniques. Previous studies have shown that RALP offers better postoperative oncological and physiological outcomes compared to open and laparoscopic techniques. However, RALP patients still experience pain lasting for several days postoperatively, which requires the use of analgesics such as opioids. This pain is associated with port site incisions, dissection of the prostate and surrounding tissues, bladder spasms, and transurethral catheter irritation. For this purpose, previous studies have utilized central and peripheral methods to reduce postoperative pain. Previous studies have demonstrated the analgesic benefits of TAP block and rectus sheath block in robotic-assisted radical prostatectomies. However, the number of studies in this area is limited. In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.
Interventions
OTHERTAP Block
TAP block will be performed immediately after the induction of anesthesia, under ultrasond guidence.
OTHERRSB
Rectus Sheath block will be performed immediately after the induction of anesthesia, under Ultrasond guidence.
Sponsors
Diskapi Yildirim Beyazit Education and Research Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 79 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged 18-79 who underwent robotic radical prostatectomy * Patients have ASA (American Society of Anesthesiologists) physical status score of 1-3.
Exclusion criteria
* Patients with an allergy to local anesthetic agents * a platelet count below 100,000 * INR value above 2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post operatif analgesia consumption | postoperative 24 hous | postoperative iv-PCA tramadole dose for the first 24 hours from iv-PCA devices. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| numerical rating scale (NRS) at rest | popstoperative 1. hour | Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient |
| NRS during coughing | postoperative1. hour | The NRS for pain during coughing will be recorded by asking the patient |
| postoperative nosia and vomiting (PONV) | postoperative 24 hours | Recording the presence or absence of nausea and vomiting in the patient within the first 24 hours postoperatively |
Countries
Turkey (Türkiye)
Contacts
Primary ContactZeynep Koc
Outcome results
None listed