The Effects of Laparoscopic Guided Transversus Abdominis Plane (TAP) Block in Sleeve Gastrectomy Procedure.
Study Details
Study Description
Brief Summary
Sleeve gastrectomy is the most performed bariatric procedure worldwide. Postoperative pain management is a challenging issue. In this trial, the investigators aimed to explore the effects of laparoscopic guided transversus abdominis plane (TAP) block on postoperative pain management in patient those were performed laparoscopic sleeve gastrectomy.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
TAP block is a regional anesthesia technique which could be performed easily especially by laparoscopy and are used in various surgical procedures. In that technique, blockade of the plane between internal oblique muscle and transversus abdominis muscle is performed by infiltration of local anesthesics drugs. Therefore , reduction of postoperative pain could be lead to decrease in postoperative complications.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: TAP Block In this group ,TAP block will be performed with 0.5% 15 ml bupivacaine + 5 ml . |
Procedure: Transversus abdominis plane block
TAP block will be performed by a needle which is punctured at the midaxillary line between subcostal margin and iliac crest, once tip of the needle had detected just above the peritoneum the syringe pulled back.
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Placebo Comparator: Placebo In this group , 20 ml saline solution will injected into the transversus abdominis plane. |
Drug: Placebo
20 ml saline solution will be injected by a needle which is punctured at the midaxillary line between subcostal margin and iliac crest, once tip of the needle had detected just above the peritoneum the syringe pulled back.
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Outcome Measures
Primary Outcome Measures
- visual analogue scale (VAS) scores [24th ours]
VAS scores of the patients within 24 hours postoperatively minimun:0 maximum:10
- postoperative analgesia doses [within 24 hours postoperatively]
totally consumed analgesics
Secondary Outcome Measures
- Nausea and vomiting score [within 24 hours postoperatively]
PONV (Postoperative nausea and vomiting) score calculated with PONV scale: score 0: no nausea or vomiting, score 1:mild nausea, not requesting medication, score 2: moderate nausea requesting medication, score 3: severe nausea and/or vomiting minimum:0 maximum:3
- first mobilization and flatus time [within 24 hours postoperatively]
first mobilization and flatus time
- time of first opioid administration [within 24 hours postoperatively]
time of first opioid administration
Other Outcome Measures
- operation time [time from first incision to last suture]
operation time
Eligibility Criteria
Criteria
Inclusion Criteria:
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patients between 18-65
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undergo Laparoscopic sleeve gastrectomy
Exclusion Criteria:
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Bupivacaine allergy
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having chronic pain or taking pain management
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ASA ( The American Society of Anesthesiologists Physical Classification System) Class 4 or
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Patients who were performed additional procedures including cholecystectomy, hiatal hernia repair or abdominal hernia repair
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Samsun Research and Training Hospital | Samsun | Turkey |
Sponsors and Collaborators
- Samsun Education and Research Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- 2020.7.2