Does the Transversalis Fascia Plane Block Work Better Than the Transversus Abdominis Plane Block for Relieving Pain After a Robotic-assisted Partial Prostatectomy?
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- TC Erciyes University
- Enrollment
- 108
- Locations
- 1
- Primary Endpoint
- Reducing patient-controlled analgesic consumption
Study Overview
Brief Summary
Regional anesthetics, nerve blocks, and interfascial blocks are becoming more common in many types of surgery to help with pain after surgery. Most clinicians concur with the importance of reducing postoperative pain scores and facilitating early discharge. The transversalis fascia plane block (TFP) and transversus abdominis plane block (TA), which are done from the side of the abdomen, have been proven to be very useful in surgeries related to women's health, weight loss, and the colon. Research on the effectiveness of both procedures in robot-assisted laparoscopic prostatectomies (RALP) is insufficient. The aim was to see if using a transversalis fascia plane block (TFP) or a transversus abdominal plane (TAP) block with 0.25% bupivacaine helped reduce pain, speed up recovery, and shorten hospital stays for men undergoing robot-assisted radical prostatectomy (RALP).
Detailed Description
Regional anesthetics, nerve blocks, and interfascial blocks are becoming more common in many types of surgery to help with pain after surgery. Most clinicians concur with the importance of reducing postoperative pain scores and facilitating early discharge. The transversalis fascia plane block (TFP) and transversus abdominis plane block (TA), which are given from the side of the abdomen, have been found to be very useful in surgeries related to women's health, weight loss, and the colon. Research shows that both procedures are ineffective in robot-assisted laparoscopic prostatectomies (RALP).
In this study, doctors will start general anesthesia using propofol and rocuronium as usual and keep it going with a mix of 4-6% desflurane with oxygen, remifentanil, and rocuronium given through an IV.
All procedures will be conducted within the framework of an observational clinical research protocol, and patients will not be subjected to any procedures outside of routine practices.
Before starting the study, patients will be thoroughly informed, and their written consent will be obtained. The study is planned to start in May 2025.
Patients will be examined in the anesthesia outpatient clinic for preoperative evaluation. Demographic data (age, gender, ASA score, height, weight, BMI, and comorbidities) will be recorded in the preoperative patient evaluation form.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 18 Years to 70 Years (Adult, Older Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •American Society of Anesthesiologists (ASA) Class I or II
- •Having regular preoperative visits
Exclusion Criteria
- •Patients classified as ASA III or IV,
- •Patients with coagulopathy
- •Those with a history of allergies
- •Significant Cardiac Disorders (Coronary Artery Disease, Arrhythmia, Electrocardiography Anomaly, Heart Failure, etc.)
- •1. Those with bleeding diathesis and those receiving anticoagulant therapy
- •Those with a history of carotid artery stenosis,
- •Cardiovascular disease,
- •Hipertansiyon,
- •Chronic obstructive pulmonary disease,
- •Patients with a heart rhythm outside the sinus
- •Patients with a history of cerebrovascular disease
- •Alcoholism or psychiatric illness
- •Those with diabetes,
- •Contraindicated for TAP and TFP Block
- •Those with drug allergies
Arms & Interventions
Control Group
Not receiving TAP or TFP
TAP Group
Receiving TAP 20 ml bupivacaine 0.25%
Intervention: TAP Plane Block (Procedure)
TFP Group
Receiving TFP 20 ml bupivacaine 0.25%
Intervention: TFP Block (Procedure)
Outcomes
Primary Outcomes
Reducing patient-controlled analgesic consumption
Time Frame: From the patient's anesthesia induction in the operating room to the postoperative 24. hours
The time to first analgesic request in the postoperative period
Secondary Outcomes
No secondary outcomes reported
Investigators
Kudret Dogru
Prof. Dr. (MD)
TC Erciyes University