Overview

M-Tapa Block vs External Oblique Intercostal Block for Laparoscopic Cholesistectomy

Status:
Not yet recruiting

Trial end date:
2022-11-30

Target enrollment:
0

Participant gender:
All

Summary

Ultrasound (US)-guided Modified Perichondral Approach Thoracoabdominal Nerve (M-TAPA) block is a novel block that provides effective analgesia in the anterior and lateral abdominal walls after laparoscopic surgery, and local anesthetic is applied only to the lower side of the perichondral surface. M-TAPA block is a good alternative for analgesia of the upper dermatome levels and the abdominal lateral wall and may be an opioid-sparing strategy with good quality recovery in patients undergoing laparoscopic surgery. US-guided External oblique intercostal block (EOB) is a block performed by injection of local anesthetic between the external and internal oblique muscles. This block provides abdominal analgesia between T6-T10 levels. There are studies in the literature showing that it provides effective analgesia. However, there is no study comparing M-TAPA and EOB yet. In this study, our aim is to compare the effectiveness of US-guided M-TAPA block and EOB for postoperative analgesia management after laparoscopic cholecystectomy surgery. Our primary aim is to compare patient recovery scores (QoR15 Turkish version), our secondary aim is to compare postoperative pain scores (24-hour NRS), postoperative rescue analgesic use (opioid), and opioid-related side effects (allergic reaction, nausea, vomiting).

Phase:

N/A

Accepts Healthy Volunteers?

Details

Lead Sponsor:

Medipol University

Criteria

Inclusion Criteria:

- American Society of Anesthesiologists (ASA) classification I-II

- Scheduled for laparoscopic inguinal hernia repair surgery under general anesthesia

Exclusion Criteria:

- Bleeding diathesis

- anticoagulant treatment

- local anesthetics and opioid allergy

- Infection at the site of block

- Patients who do not accept the procedure