Laparoscopic Inguinal Hernia Surgery Patients: Comparison of Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) and Oblique Subcostal TAP Block for Postoperative Analgesia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Total analgesic consumption in 24 hours
研究概览
简要总结
This randomized controlled trial aims to compare the postoperative analgesic efficacy of M-TAPA block and OSTAP block in patients undergoing laparoscopic inguinal hernia repair. Pain scores, analgesic consumption, and patient satisfaction will be evaluated.
详细描述
Prospective, randomized, single-blind, controlled study including 90 patients undergoing elective laparoscopic inguinal hernia repair. Patients will be randomized into three groups: M-TAPA, OSTAP, and control. Postoperative pain scores (VAS), analgesic consumption, time to first analgesic requirement, and patient satisfaction will be assessed over 24 hours.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged between 18 and 65 years
- •American Society of Anesthesiologists (ASA) physical status I-II
- •Scheduled for elective laparoscopic inguinal hernia repair (TEP technique)
- •Ability to understand and use the Visual Analog Scale (VAS)
- •Provided written informed consent
排除标准
- •Refusal to participate or inability to provide informed consent
- •Age under 18 or over 65 years
- •ASA physical status ≥ III
- •Coagulopathy (including abnormal INR, thrombocytopenia, or platelet dysfunction)
- •Infection at the injection site
- •Known allergy or hypersensitivity to study medications (local anesthetics, NSAIDs, opioids)
- •Chronic opioid use (longer than 4 weeks)
- •Use of psychiatric medications affecting pain perception
- •Inability to cooperate or communicate effectively
- •Requirement for postoperative intensive care
研究组 & 干预措施
M-TAPA
Bilateral M-TAPA block applied after surgery
干预措施: Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) (Procedure)
OSTAP
Bilateral OSTAP block applied after surgery
干预措施: Oblique Subcostal Transversus Abdominis Plane Block (OSTAP) (Procedure)
CONTROL
No block applied and standart analgesia procedure
干预措施: Standard Analgesia use (paracetamol, contramal) (Other)
结局指标
主要结局
Total analgesic consumption in 24 hours
时间窗: 24 hours postoperative
Total amount of dexketoprofen consumed in the first 24 hours after surgery
次要结局
- Postoperative Pain Intensity (VAS Score)(0 (15 minutes), 2, 4, 8, 12, 16, and 24 hours postoperative)
- Time to First Analgesic Requirement(Within 24 hours postoperative)
- Tramadol Consumption(24 hours postoperative)
- Patient Satisfaction Score(24 hours postoperative)
- Incidence of Postoperative Nausea and Vomiting(24 hours postoperative)
研究者
Emre Yilmaz
MD, Resident in Anesthesiology and Reanimation
Dr. Lutfi Kirdar Kartal Training and Research Hospital