Comparison of Analgesic Effects of TAP Block and RSB in RALPs

Not yet recruiting

• Conditions: Postoperative Pain

• Registration Number: NCT06681571
• Lead Sponsor: Diskapi Yildirim Beyazit Education and Research Hospital

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.

Study Timeline

• Status Verified: 2024-11
• Study First Submitted: 2024-11-07
• Study First Submitted QC: 2024-11-07
• Last Update Submitted: 2024-11-07
• Study First Posted: 2024-11-08
• Last Update Posted: 2024-11-08
• Study Start: 2024-11-20
• Primary Completion: 2025-01-20
• Study Completion: 2025-01-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 100

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
post operatif analgesia consumption	postoperative 24 hous	postoperative iv-PCA tramadole dose for the first 24 hours from iv-PCA devices.

Secondary Outcome Measures

Name	Time	Method
numerical rating scale (NRS) at rest	postoperative 24. hour	Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient
NRS during coughing	postoperative24. 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

Trial Locations

Locations (1)

Zeynep Koç; 🇹🇷 Yenimahalle, Ankara, Turkey