Comparison of Analgesic Effects of TAP Block and RSB in RALPs

Diskapi Yildirim Beyazit Training and Research Hospital

Status: Not yet enrolling

Conditions: Postoperative Pain

Treatments: Other: TAP Block; Other: RSB

Study type: Observational

Funder types: Other

Identifiers

NCT06681571

ZeynepKoc002

Details and patient eligibility

About

In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.

Full description

"Robotic-assisted laparoscopic prostatectomy (RALP) is a minimally invasive and superior technique that provides better visualization and maneuverability compared to open and laparoscopic surgical techniques. Previous studies have shown that RALP offers better postoperative oncological and physiological outcomes compared to open and laparoscopic techniques. However, RALP patients still experience pain lasting for several days postoperatively, which requires the use of analgesics such as opioids. This pain is associated with port site incisions, dissection of the prostate and surrounding tissues, bladder spasms, and transurethral catheter irritation. For this purpose, previous studies have utilized central and peripheral methods to reduce postoperative pain. Previous studies have demonstrated the analgesic benefits of TAP block and rectus sheath block in robotic-assisted radical prostatectomies. However, the number of studies in this area is limited. In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 79 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 18-79 who underwent robotic radical prostatectomy
• Patients have ASA (American Society of Anesthesiologists) physical status score of 1-3.

Exclusion criteria

• Patients with an allergy to local anesthetic agents
• a platelet count below 100,000
• INR value above 2

Trial design

100 participants in 2 patient groups

TAP Group

Description:

TAP block will be performed immediately after the induction of anesthesia, under ultrasond guidence.

Treatment:

Other: TAP Block

RSB Group

Description:

RSB block will be performed immediately after the induction of anesthesia, under ultrasond guidence.

Treatment:

Other: RSB