Gynecologic Laparoscopic Surgery, Regional Anesthesia Block
Conditions
Brief summary
Although laparoscopic techniques are considered minimally invasive surgical procedures with lower perioperative pain scores compared to open surgeries, they are still associated with significant levels of pain. This study aims to investigate the analgesic effectiveness of two routinely performed regional analgesic techniques in our clinic-ultrasound-guided classic bilateral TAP block and ultrasound-guided bilateral M-TAPA block-in patients undergoing laparoscopic gyneco-oncologic surgery (LGOS), as well as their effects on intraoperative opioid consumption.
Interventions
PROCEDURETAP Block Group
Patients in the TAP group will receive a bilateral Transversus Abdominis Plane (TAP) block under ultrasound guidance prior to surgery after general anaesthesia, with the local anesthetic administered between the internal oblique and transversus abdominis muscles. A total of 40 mL of 0.25% bupivacaine will be used for the procedure.
PROCEDUREM-TAPA Block group
Patients in the M-TAPA group will receive a bilateral Thoracoabdominal Nerve Block through Perichondrial Approach (M-TAPA) under ultrasound guidance prior to surgery after general anaesthesia. A total of 40 mL of 0.25% bupivacaine will be used for the procedure.
Sponsors
Ankara Etlik City Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Female patients aged between 18 and 80 years, classified as ASA physical status I to III, undergoing laparoscopic gynecologic surgery under general anesthesia -
Exclusion criteria
Coagulopathy Neuropathy Chronic analgesic therapy Severe cardiopulmonary disease Uncontrolled diabetes mellitus (HbA1c \> 8%) Severe renal or hepatic failure Pregnancy or lactation Body mass index (BMI) greater than 35 kg/m² Local infection at the injection site Inability to comprehend pain scores or cooperate (e.g., Alzheimer's disease, mental retardation) Allergy to local anesthetic agents Refusal to participate in the study \-
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of intraoperative opioid consumption | during surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of postoperative Visual Analog Scale (VAS) pain scores | postoperative first day | VAS is an eleven-scale pain score scored from 0 to 10, with vas 0 being no pain and vas 10 being maximum pain. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactELA ERDEM HIDIROGLU
Outcome results
None listed