External Oblique Intercostal Plane Block vs. Wound Infiltration for Laparoscopic Sleeve Gastrectomy

Not Applicable

Completed

• Conditions: Obesity
• Interventions: Other: ultrasound guided external oblique intercostal plane block; Other: Wound infiltration

• Registration Number: NCT05614921
• Lead Sponsor: Ataturk University

Brief Summary

The morbidity and mortality associated with being overweight or obese have been known to the medical profession since Hippocrates, more than 2500 years ago.

Pain that develops following bariatric surgery may prolong recovery time. Most morbidly obese patients have obstructive sleep apnea and cardiac comorbidities. In these patients, prolonged postoperative pain may cause early ambulation and delay performing deep breathing exercises.

Using regional anesthetic techniques results in less opioid use and better pain management. External oblique internal costal block; It is a new block that provides dermatomal sensory blockage involving T6-T10 in the anterior axillary line and T6-T9 in the midline. It can be used as part of multimodal analgesia in laparoscopic cases.

There is no study in the literature regarding the use of external oblique plane block in bariatric surgery yet.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-11-07
• Study First Submitted QC: 2022-11-07
• Study First Posted: 2022-11-14
• Study Start: 2022-11-15
• Primary Completion: 2023-04-01
• Status Verified: 2023-05
• Study Completion: 2023-05-15
• Last Update Submitted: 2023-05-30
• Last Update Posted: 2023-05-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• American Society of Anesthesiologist's physiologic state I-III patients
• Laparoscopic Obesity surgery

Exclusion Criteria

• Chronic pain bleeding disorders renal or hepatic insufficiency patients on chronic non-steroidal anti-inflammatory medications emergency cases

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
External oblique intercostal plane block	ultrasound guided external oblique intercostal plane block	Ultrasound-guided External oblique intercostal plane block before surgery
Wound infiltration	Wound infiltration	Wound infiltration to trocar sites before surgery

Primary Outcome Measures

Name	Time	Method
Postoperative opioid consumption	first 24 hours	First 24 hours total fentanyl consumption with patient controlled analgesia

Secondary Outcome Measures

Name	Time	Method
Visual analog pain score	postextubation 0-24 hours	Post operative pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain)

Trial Locations

Locations (1)

Atatürk University; 🇹🇷 Erzurum, Turkey