Effect of Preoperative Rectus Sheath Block on Quality of Recovery in Single Port Laparoscopic Adnexal Surgery

Yonsei University

Status: Not yet enrolling

Conditions: Single Port Laparoscopic Adnexal Surgery

Treatments: Drug: Ultrasound guided rectus sheath block with dexmedetomidine; Drug: Ultrasound guided rectus sheath block with normal saline

Study type: Interventional

Funder types: Other

Identifiers

NCT05984212

4-2023-0611

Details and patient eligibility

About

In this study, the investigators aimed to demonstrate if the quality of recovery in patients undergoing single-port laparoscopic adnexal surgery, with preoperative rectus sheath block and intraoperative opioid administration based on analgesia nociception index, improves compared to the patients without block.

Enrollment: 56 estimated patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

1. Adult female patient aged 19 years or older undergoing elective single-port laparoscopic adnexal surgery under general anesthesia at Yonsei Cancer Center

2. patients with moderate to severe pain before surgery 2. patients with history of taking chronic analgesic use, 3. patients allergic or hypersensite to remifentanil or local anesthetic (ropivacaine), 4. patients with infection at the site of the block, 5. patietns who cannot communicate

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

---

56 participants in 2 patient groups, including a placebo group

dexmedetomidine infusion group

Experimental group

Treatment:

Drug: Ultrasound guided rectus sheath block with dexmedetomidine

normal saline infusion group

Placebo Comparator group

Treatment:

Drug: Ultrasound guided rectus sheath block with normal saline