Comparison of the Effects of External Oblique Intercostal Plane Block and Subcostal Transversus Plane Block Methods With Ultrasound Guidance on Postoperative Analgesia in Laparoscopic Sleeve Gastrectomy Operations
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Sanliurfa Education and Research Hospital
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Postoperative Acute Pain Scores
Overview
Brief Summary
The primary aim of this study was to investigate the effects of the external oblique intercostal plane block and the subcostal transversus abdominis plane block on postoperative pain scores and opioid consumption in patients undergoing laparoscopic sleeve gastrectomy.
Detailed Description
Obesity is a global health problem currently treated with diet, pharmacotherapy, and bariatric surgery. Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure that often results in moderate to severe postoperative pain. Adequate pain control after LSG is crucial for early mobilization and prevention of complications . As a relatively novel technique, the external oblique intercostal block (EOIB) provides analgesia for anterolateral upper abdominal surgery by blocking both the lateral and anterior cutaneous branches of the intercostal nerves between T6-7 and T10-11 . The subcostal transversus abdominis plane (s-TAP) block provides sensory blockade over nearly the entire anterior abdominal wall between T6 and T9. Therefore, it can be considered as part of multimodal analgesia for both laparotomy and laparoscopic abdominal surgical procedures.
The primary aim of this study was to investigate the effects of the external oblique intercostal block (EOIB) and the subcostal transversus abdominis plane (s-TAP) block on postoperative pain scores and opioid consumption in patients undergoing laparoscopic sleeve gastrectomy.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Adult patients aged between 18 and 65 years
- •Patients classified as American Society of Anesthesiologists (ASA) physical status I-III
Exclusion Criteria
- •Patients younger than 18 years or older than 65 years
- •Inability to cooperate or comply with study procedures
- •Liver and kidney failure
- •American Society of Anesthesiologists (ASA) IV-V patient
- •External oblique intercostal block(EOİB) and the Subcostal Transversus Abdominis Plane block(s-TAB) are contraindicated
Arms & Interventions
External Oblique Intercostal Block
patient receive block that External Oblique Intercostal Blcok
Intervention: Ultrasound-guided external oblique intercostal plane block (Procedure)
Subcostal Transversus Abdominis Plane Block (s-TAP)
Patient receive that OSTAP
Intervention: Subcostal Transversus Abdominis Plane Block (s-TAP) (Procedure)
Local anesthetic infiltration
Surgeon implement local anesthetic to port site
Intervention: Local anesthetic infiltration (Procedure)
Outcomes
Primary Outcomes
Postoperative Acute Pain Scores
Time Frame: postoperative T1: 0. hours, T2:4.hours,T3:12.hours,T4: 24.hours
Postoperative acute pain scores assingment with Visual Analog Scores
Secondary Outcomes
- Total Opioid Consumption(POSTOPERATİVE T1:0 HOURS T2:4. HOURS T3:12.HOURS T4:24.HOURS)
- PATIENT SATISFACTION (Likert Scale) Not satisfied at all 1 Slightly satisfied 2 Moderately satisfied3 Satisfied4 Excellent5 SURGEON SATISFACTION (Likert Scale) Not satisfied at all 1 Slightly satisfied 2 Moderately satisfied3 Satisfied4 Excellent5(Postoperative 24.hours)
- Postoperative Nause and Vomiting(Postoperative first 24.hours)
Investigators
MELİKE BOSTANCI ERKMEN
Medical Specialist
Sanliurfa Education and Research Hospital