Comparing Erector Spinae Plane Block and Rectus Sheath Block for Pain Relief After Upper Belly Surgery in Adults Aged 21 to 60

What this Trial Is About

This trial investigates how two different regional anesthesia techniques compare in managing pain after supraumbilical surgery, a common procedure for hernia repair known to cause moderate to severe postoperative pain. The study focuses on the erector spinae plane block ESPB and the rectus sheath block RSB, assessing their effectiveness in reducing the need for opioid pain medicines and their impact on patient recovery and side effects. Participants will be randomly assigned to one of two groups. One group will receive general anesthesia plus a postoperative bilateral ultrasound-guided ESPB, while the other group will receive general anesthesia plus a postoperative bilateral ultrasound-guided RSB. Both procedures target specific nerve areas to provide pain relief after surgery. This is a double-blind, randomized trial including 60 adult patients undergoing elective supraumbilical surgery. During the study, participants pain levels, time until first request for additional pain relief, total amount of rescue analgesic used, and any postoperative complications will be closely monitored for 24 hours after the nerve block. Researchers will use pain rating scales and measure medication use to evaluate outcomes. Safety and side effects will also be recorded, with the total participation lasting through the immediate postoperative period and follow-up within the first day after surgery.

Erector Spinae Plane Block Versus Rectus Sheath Block for Postoperative Analgesia After Supraumbilical Surgery