External Oblique Intercostal Plane Block vs. Wound Infiltration for Laparoscopic Sleeve Gastrectomy

Ataturk University

Status: Completed

Conditions: Obesity

Treatments: Other: Wound infiltration; Other: ultrasound guided external oblique intercostal plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT05614921

atauniobesity

Details and patient eligibility

About

The morbidity and mortality associated with being overweight or obese have been known to the medical profession since Hippocrates, more than 2500 years ago.

Pain that develops following bariatric surgery may prolong recovery time. Most morbidly obese patients have obstructive sleep apnea and cardiac comorbidities. In these patients, prolonged postoperative pain may cause early ambulation and delay performing deep breathing exercises.

Using regional anesthetic techniques results in less opioid use and better pain management. External oblique internal costal block; It is a new block that provides dermatomal sensory blockage involving T6-T10 in the anterior axillary line and T6-T9 in the midline. It can be used as part of multimodal analgesia in laparoscopic cases.

There is no study in the literature regarding the use of external oblique plane block in bariatric surgery yet.

Enrollment: 60 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologist's physiologic state I-III patients
• Laparoscopic Obesity surgery

Exclusion criteria

• Chronic pain bleeding disorders renal or hepatic insufficiency patients on chronic non-steroidal anti-inflammatory medications emergency cases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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60 participants in 2 patient groups

External oblique intercostal plane block

Active Comparator group

Description:

Ultrasound-guided External oblique intercostal plane block before surgery

Treatment:

Other: ultrasound guided external oblique intercostal plane block

Wound infiltration

Active Comparator group

Description:

Wound infiltration to trocar sites before surgery

Treatment:

Other: Wound infiltration