Midpoint Transverse Process to Pleura Block vs Erector Spinae Plane Block for Postoperative Analgesia in Laparoscopic Sleeve Gastrectomy

Ain Shams University

Status: Active, not recruiting

Conditions: Bariatric Sleeve Gastrectomy

Treatments: Procedure: Midpoint Transverse Process to Pleura Block (MTPPB); Procedure: Erector Spinae Plane Block (ESPB) group

Study type: Interventional

Funder types: Other

Identifiers

NCT07319390

FMASU R226/2025

Details and patient eligibility

About

The aim of this study will be to compare between MTP and ESPB in terms of postoperative pain score in patients undergoing laparoscopic sleeve gastrectomy

Enrollment: 52 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Anesthesiologists (ASA) physical status II, of either sex Age ≥18 y.
• Undergoing laparoscopic sleeve gastrectomy
• BMI≥ 35

Exclusion criteria

• Patient refusal to give consent for the block
• Hypersensitivity to any of study medications
• Infection at site of the block
• Coagulopathy
• severe cardiac/hepatic/renal disease

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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52 participants in 2 patient groups

Group A (ESPB): Bilateral ESP

Active Comparator group

Description:

block at T7 with 20 mL of 0.25% bupivacaine on each side

Treatment:

Procedure: Erector Spinae Plane Block (ESPB) group

Group B (MTPB): Bilateral MTP

Active Comparator group

Description:

block at T7 with 20 mL of 0.25% bupivacaine on each side

Treatment:

Procedure: Midpoint Transverse Process to Pleura Block (MTPPB)