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Laparoscopic Versus US-Guided Subcostal TAP Block After Laparoscopic Cholecystectomy

Not Applicable
Conditions
Cholecystitis; Gallstone
Interventions
Procedure: US TAP
Procedure: Laparoscopic TAP
Registration Number
NCT04276285
Lead Sponsor
Mansoura University
Brief Summary

Zaghiyan et al hypothesized that Laparoscopic TAP was noninferior to US-TAP and performed a randomized clinical trial comparing Laparoscopic TAP, US-TAP, and no TAP in minimally invasive colorectal surgery. The authors reported that LTAP was superior to UTAP in achieving pain control and minimizing opioid use in the first 24 hours after colorectal surgery.

This prospective randomized, controlled trial will be performed to assessed the efficacy of laparoscopic subcostal TAP block (LSTAP) compared to ultrasound-guided subcostal TAP (USTAP) block after laparoscopic cholecystectomy regarding postoperative pain scores in the first 24-hours after the intervention and analgesic requirements.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
94
Inclusion Criteria
  • Consecutive adult patients of either gender who will undergo laparoscopic cholecystectomy will be recruited to the study.
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Exclusion Criteria
  • Pregnant women
  • Patients who will undergo open cholecystectomy
  • Patients who will need conversion to conventional open cholecystectomy
  • Patients with ASA III classification or higher
  • Patients who will undergo laparoscopic cholecystectomy together with other abdominal interventions.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
US TAPUS TAPSubcostal TAP block will be performed after surgery under ultrasound guidance
Laparoscopic TAPLaparoscopic TAPSubcostal TAP block will be performed after surgery under laparoscopic guidance
Primary Outcome Measures
NameTimeMethod
Pain score24 hours after cholecystectomy

pain will be assessed with visual analogue scale from 0-10

Secondary Outcome Measures
NameTimeMethod
Analgesic requirement24 hours after cholecystectomy

the need for intravenous analgesia after surgery calculated as the cumulative dose of analgesic administered over 24 hours

Trial Locations

Locations (1)

Mansoura university hospital

🇪🇬

Mansourah, Dakahlia, Egypt

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