Comparison between regional techniques and spinal anesthesia associated with general anesthesia for laparoscopic gynecological surgeries - a randomized study

General Anesthesia combined with regional techniques in Laparoscopic Gynecological Surgeries, comparison between Tap Block, Quadratus Lumbar Block and Spinal Anesthesia with Opioid: randomized study

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

REBEC

Registry ID

RBR-7c7zh75

Enrollment

Unknown

Registered

2024-12-02

Start date

2025-05-04

Completion date

Unknown

Last updated

2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Abdominal and pelvic pain

Interventions

100 patients will be evaluated, randomized into four groups of 25 patients. Postoperative analgesia of laparoscopic hysterectomies will be evaluated in four distinct groups: Control group, will underg

Balanced general anesthesia associated with transversus abdominis plane block

Balanced general anesthesia associated with lateral quadratus lumborum block

Balanced general anesthesia associated with spinal anesthesia with morphine.

Eligibility

Sex/Gender

Female

Age

18 Years to 65 Years

Inclusion criteria

Inclusion criteria: Patients aged 18 to 65 years; female; American Society of Anesthesiologists physical status - ASA I or II; undergoing total laparoscopic hysterectomy

Exclusion criteria

Exclusion criteria: Patients with severe comorbidity (American Society of Anesthesiologists physical status - ASA III or higher); cardiac arrhythmias; dilated cardiomyopathy; cardiac conduction disorder; electrolyte disorder; acid-base disorder; hypersensitivity to lidocaine; psychiatric, hepatic, respiratory or oncological diseases; patients who were receiving any type of analgesic in the week prior to surgery; patients who received blood products during the study period; and those whose health insurance does not cover the intervention procedures

Design outcomes

Primary

Measure	Time frame
To evaluate the analgesic efficiency of regional or spinal anesthesia techniques associated with general anesthesia by assessing the visual numerical pain scale, the time until the first request for morphine and the total morphine consumption in the postoperative period of laparoscopic hysterectomy.	—

Secondary

Measure	Time frame
To assess the incidence of postoperative nausea and vomiting through the consumption of antiemetics during hospitalization;Assess the presence of other adverse effects (dizziness, drowsiness, metallic taste, paresthesia, among others) through a questionnaire in the postoperative period	—

Countries

Brazil

Contacts

Public ContactDener Cordeiro

Hospital São Domingos

dener_cordeiro@hotmail.com+55-98-32168107

Outcome results

None listed

Source: REBEC (via WHO ICTRP)