Comparison of Two Different Approach TAP Block on Pain Management of Laparoscopic Nephrectomy

Ankara City Hospital

Status: Completed

Conditions: Analgesia, Patient-Controlled; Postoperative Pain, Acute

Treatments: Procedure: posterior tap block; Procedure: lateral tap block

Study type: Interventional

Funder types: Other

Identifiers

NCT05188794

E1-21-1814

Details and patient eligibility

About

Primary aim is to compare the effectiveness of the posterior approach Transversus abdominis plane block (P-TAP) and the lateral approach Transversus abdominis plane block (L-TAP) technique on the pain management of the laparoscopic nephrectomy in terms of visual analog pain scale and postoperative opioid consumption. Secondary aim is to compare complication rates of the two techniques.

Full description

Patients included in the study will be randomized into two groups (group L and group P) in the preoperative period. Following routine anesthesia induction TAP block will be applied to group L patients with the lateral approach technique, and to group P patients with the posterior approach technique. Regional block complications will be recorded.

Standard laparoscopic nephrectomy surgical method will be applied. 1g of paracetamol and 4mg of dansetron will be administered to both groups 15 minutes before the end of the operation. The pain intensity of the patients will be questioned and VAS values will be recorded at 0, 1, 2, 6, 12 and 24 hours postoperatively.

Enrollment: 88 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASAI-III patients undergoing laparoscopic nephrectomy
• 18<BMI<40

Exclusion criteria

• infection at the block site
• coagulation disorder
• pregnancy
• kidney failure
• liver failure
• heart failure
• allergy to local anesthetics
• patient refusal

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

---

88 participants in 2 patient groups

group L

Active Comparator group

Description:

Lateral transversus abdominis plane(TAP) block

Treatment:

Procedure: lateral tap block

Group P

Active Comparator group

Description:

Posterior transversus abdominis plane block

Treatment:

Procedure: posterior tap block