Transversus Abdominal Plane Block at Total Laparoscopic Hysterectomy: Effect on Quality of Recovery (TAP)

MetroHealth Medical Center

Status: Completed

Conditions: Pain, Postoperative; Anesthesia

Treatments: Drug: TAP Block

Study type: Interventional

Funder types: Other

Identifiers

NCT01479270

IRB10-01517

Details and patient eligibility

About

The Transversus Abdominal Plane (TAP) block has been used with good success to decrease postoperative pain following laparatomy. If the TAP block provides any improvement in the quality of recovery following laparoscopic hysterectomy, it could decrease the need for postoperative narcotics and allow for more outpatient hysterectomy procedures.

Enrollment: 56 patients

Sex: Female

Ages: 18 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Any patient undergoing laparoscopic hysterectomy
• Age ranges 18-80
• Reading literacy
• English speaking
• Able to give informed consent

Exclusion criteria

• History of relevant drug allergy
• Chronic opioid users who may have tolerance to pain medications
• Inability to understand written consent forms or give consent
• Age less than 18 or over 80
• Any conversion to open surgery

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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56 participants in 2 patient groups

TAP Block

Active Comparator group

Description:

20mL of 0.25% Ropivacaine with Epinephrine 1:200,000 is injected into bilateral transversus abdominal planes under ultrasound guidance.

Treatment:

Drug: TAP Block

No Block

No Intervention group

Description:

Patients randomized to this arm have band aids applied to sites on lateral abdomen without injection.