Abdominal Obesity, Postoperative Complications, Postoperative Pain
Conditions
Keywords
post operative pain, transversus abdominis plane block, rectus sheat block
Brief summary
The investigator aims to compare the analgesic efficacy of Transversus Abdominis Plan Block and Rectus Sheath Block which are used to prevent intraoperative and postoperative pain and reduce the use of opioid in abdominoplasty operations.
Detailed description
Abdominoplasty is a frequently performed surgical procedure in aesthetic and plastic surgery. It is performed to solve the pain caused by the large abdomen, respiratory distress and aesthetic problems. Since large tissue excision is made and a large area is worked on, providing perioperative pain control is also important to prevent both postoperative respiratory distress and postoperative chronic pain formation. In order to prevent both intraoperative and postoperative pain and to reduce opioid use, peripheral nerve blocks that provide analgesia on the abdominal wall can be applied to patients before the surgical incision. The most well-known of these blocks is the Transversus Abdominis Plane block. Another block that has been proven effective in abdominal surgery is the Rectus Sheath block. In the Transversus Abdominis Plane block (TAP), local anesthetic is injected into the fascia between the internal oblique and transversus abdominis muscles, aiming for analgesia. It provides multidermatomal sensory block by spreading the local anesthetic agent in the fascial area. The Rectus Sheath (RK) block is also a preferred plan block in abdominoplasty surgery. In this block, local anesthetic agent is injected between the rectus muscle and the posterior rectus sheath to achieve analgesia. Although the effectiveness of both blocks has been shown mostly in abdominoplasty operations, there is no publication in the literature showing and comparing their effectiveness in abdominoplasty operations. With this study, The investigator aimed to compare the analgesic effectiveness of the two blocks in patients who will undergo abdominoplasty operations.
Interventions
PROCEDUREtransversus abdominis plane block
The transversus abdominis plane (TAP) block is a regional anesthesia technique used primarily to provide pain relief for patients undergoing surgery in the abdominal region. The TAP block targets the nerves that supply sensations to the skin and muscles of the abdominal wall.
PROCEDURErectus sheat block
The rectus sheath block is a type of regional anesthesia used primarily for pain management in the abdominal area. It involves injecting local anesthetic into the rectus sheath, which is the fibrous sheath that envelops the rectus abdominis muscle. This block targets the lower intercostal nerves as they traverse through the sheath, thereby providing analgesia to the anterior abdominal wall.
Sponsors
Sisli Hamidiye Etfal Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Patients who will undergo elective abdominoplasty * Patients between the ages of 18-65 * ASA (American Society of Anesthesiologists) I-II-III patients * Patients with a body weight between 50-80 kg
Exclusion criteria
* \- ASA IV patient group * Patients under 18 years of age * Patients without cooperation * Patients with chronic alcohol use * Patients in whom peripheral plane block application is contraindicated (infection at the application site, coagulopathy, local anesthetic allergy) * Patients who do not want to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | VAS scores were measured at the beginning, st, 3rd, 6th, 12th and 24th hour in the postoperative recovery unit. | The Visual Analog Scale (VAS) score is a subjective measurement tool used to assess the intensity of pain. It is commonly used in clinical settings to help patients communicate their pain levels to healthcare providers. The VAS typically consists of a straight line, often 10 centimeters long, with one end labeled no pain (0) and the other end labeled worst pain imaginable (10). Patients mark a point on the line that corresponds to their current level of pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| total analgesic consumption | 24 hour | Total analgesic consumption of patients in the first 24 hours postoperatively |
| first analgesic need | 24 hour | Time until first postoperative analgesic requirement |
Countries
Turkey (Türkiye)
Contacts
Primary ContactAYSEL SALKAYA
Backup ContactMUSTAFA ALTINAY
Outcome results
None listed