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Comparison of the Effects of M-TAPA and TAP Nerve Block Applications on Postoperative Pain Scores and Analgesia Requirements in Laparoscopic Cholecystectomy
Led by Cumhuriyet University · Updated on 2024-11-06
12
Participants Needed
1
Research Sites
N/A
Total Duration
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AI-Summary
What this Trial Is About
Laparoscopic cholecystectomy is the most common abdominal surgery for treating gallstones, and managing postoperative pain after this procedure is important. This research compares two nerve block techniques, the established transversus abdominis plane (TAP) block and the newer modified thoracoabdominal nerve block through perichondrial approach (M-TAPA), to see which is more effective for pain relief after surgery. Participants receive either a bilateral M-TAPA block or a bilateral TAP block using 0.25% bupivacaine (40 ml total) at the end of their laparoscopic cholecystectomy. Both blocks are guided by ultrasound and performed before surgery starts, with the same procedure applied to both sides of the body. The study randomly assigns patients to one of these two nerve block groups. During the study, patients' pain levels will be measured using a numerical rating scale over the first 24 hours after surgery. Researchers will also track the amount of tramadol pain medication used in that period. Participants will be monitored closely to assess pain control and any side effects. The study runs until early 2025, aiming to improve pain management after gallbladder surgery.
CONDITIONS
Brief Title
Analgesic Effect of M-TAPA and TAPB on Laparoscopic Cholesistectomy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patients older than 18 years of age
- Undergoing elective laparoscopic cholecystectomy under general anesthesia
- Classified as American Society of Anesthesiologists (ASA) I, II, or III
- Able to cooperate during postoperative pain assessment
You will not qualify if you...
- Patients who did not give consent
- Patients with coagulopathy (blood clotting disorders)
- Patients with infection signs at the block application site
- Patients using anticoagulant medications
- Patients allergic to local anesthetic drugs
- Patients undergoing open surgery instead of laparoscopic
- Patients with unstable hemodynamics
- Patients unable to cooperate during postoperative pain assessment
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 day (day of surgery)
Participants undergo laparoscopic cholecystectomy and receive either the M-TAPA block or the TAP block for postoperative pain control after surgery.
1 visit (in-person, surgery day)
Duration - 24 hours post-surgery
Participants are monitored for pain scores and analgesia requirements during the first 24 hours after surgery.
1 follow-up visit within 24 hours after surgery
Trial Site Locations
Total: 1 location
1
Medicana Sivas Hospital
Sivas, Turkey (Türkiye)
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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