Pain Relief Study Using Combined Superior Hypogastric Plexus and Transversus Abdominis Plane Blocks in Women Undergoing Abdominal Hysterectomy

What this Trial Is About

This research aims to assess the pain relief effect of combining superior hypogastric plexus block with transversus abdominis plane block in women undergoing abdominal hysterectomies. Abdominal hysterectomy is a major surgery often linked to significant postoperative pain, and inadequate pain control can delay recovery and cause complications. A multimodal postoperative pain management approach is recommended for better outcomes. Participants will be randomly assigned to one of two groups. One group will receive a superior hypogastric plexus block and a transversus abdominis plane block using bupivacaine 0.25%. The other group will receive a sham superior hypogastric plexus block using saline combined with a transversus abdominis plane block using bupivacaine 0.25%. Both blocks involve injections of 20ml solutions. This trial uses a double-blind design to compare the analgesic effects of these interventions. Participants will be monitored for 24 hours after surgery to evaluate the time until they first request rescue pain medication, total morphine use, pain intensity, quality of recovery, and any adverse events. Assessments will include pain scoring and recovery quality evaluations during this period. The study aims to provide detailed information on pain control effectiveness and safety following these regional blocks after abdominal hysterectomy.

Combination of Superior Hypogastric Plexus Block and Transversus Abdominis Plane Block in Abdominal Hysterectomies