Comparison of the Quality of Recovery After Cesarean Section Surgery

Muğla Sıtkı Koçman University

Status: Completed

Conditions: Cesarean Section; Postoperative Recovery; Abdominal Pain

Treatments: Procedure: Transversus Abdominis Plane Block; Procedure: Transversalis Fascia Plane Block

Study type: Interventional

Funder types: Other

Identifiers

NCT05999981

MSKU 13-IV

Details and patient eligibility

About

Inadequate pain control after cesarean section surgery causes postpartum depression, persistent pain and delayed mother-infant bonding. The investigator's aim is to asses whether ultrasound guided transversalis fascia plane block (TFPB) or transversus abdominis plane (TAP) block would improve postoperative quality of recovery and decrease postoperative opioid consumption after cesarean section surgery.

Enrollment: 80 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists physical status II-III
• Cesarean section surgery under spinal anesthesia

Exclusion criteria

• American Society of Anesthesiologists physical status IV
• Emergency surgery
• General anesthesia
• Additional surgical intervention at the same session
• Body mass index of more than 35 kg/m2
• Allergy to any study drugs
• Local infection at the injection site
• History of drug abuse
• Communication problem
• Coagulopathy
• Preeclampsia and eclampsia

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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80 participants in 2 patient groups

Transversalis Fascia Plane Block (TFPB) Group

Active Comparator group

Description:

At TFPB group, the block will be performed by ultrasound guidance after completion of surgery. TFPB will be performed under ultrasonography guidance using a linear 6 to 13 megahertz ultrasound probe by the anesthesiologist. In TFPB group patients will receive 40 ml %0.25 bupivacaine divided into 2 equal doses between transversus abdominis muscle and transversalis fascia bilaterally.

Treatment:

Procedure: Transversalis Fascia Plane Block

Transversus Abdominis Plane (TAP) Block Group

Active Comparator group

Description:

At TAP block group, the block will be performed by ultrasound guidance after completion of surgery. TAP blocks will be performed under ultrasonography guidance using a linear 6 to 13 megahertz ultrasound probe by the anesthesiologist. In TAP block group patients will receive 40 ml %0.25 bupivacaine divided into 2 equal doses in the fascial plane between internal oblique muscle and transversus abdominis muscle bilaterally.

Treatment:

Procedure: Transversus Abdominis Plane Block