Laparoscopic cholecystectomy is commonly associated with moderate postoperative pain, particularly during the early postoperative period. Inadequate postoperative analgesia may negatively affect patient comfort and recovery, increase opioid consumption, and contribute to opioid-related adverse effects. Therefore, effective multimodal analgesic strategies are of considerable importance in patients undergoing laparoscopic cholecystectomy.
Subcostal transversus abdominis plane (TAP) block is a regional anesthesia technique used to provide analgesia for upper abdominal surgery. However, its analgesic coverage may be insufficient in some patients because of the complex innervation of the upper abdominal wall. The recto-intercostal fascial plane block has been described as a fascial plane block targeting the anterior branches of the thoracoabdominal nerves and may provide additional analgesic benefit when combined with subcostal TAP block.
This study aims to compare the postoperative analgesic efficacy of bilateral subcostal TAP block alone with that of bilateral subcostal TAP block combined with recto-intercostal fascial plane block in patients undergoing elective laparoscopic cholecystectomy.
Age between 18 and 80 years
With a body mass index (BMI) between 18 and 30 kg/m².
American Society of Anesthesiologists (ASA) physical status I, II, or III
Scheduled to undergo elective laparoscopic cholecystectomy
Age younger than 18 years or older than 80 years
With a body mass index (BMI) below 18 or above 30 kg/m
American Society of Anesthesiologists (ASA) physical status IV or higher
Parallel
Subcostal TAP Block
Procedure/SurgeryFollowing induction of general anesthesia and before surgical incision, a bilateral ultrasound-guided subcostal transversus abdominis plane block will be performed. A total volume of 40 mL of 0.20% bupivacaine will be administered.
Subcostal TAP Block + Recto-Intercostal Fascial Plane Block
Procedure/SurgeryFollowing induction of general anesthesia and before surgical incision, a bilateral ultrasound-guided subcostal transversus abdominis plane block will be performed using a total volume of 40 mL of 0.20% bupivacaine. In addition, a bilateral ultrasound-guided recto-intercostal fascial plane block will be performed using a total volume of 30 mL of 0.20% bupivacaine.
Pain Score
Pain will be assessed at rest using the visual analog scale on a scale from 0 (no pain) to 100 (worst pain). Pain assessment will be done at 6th hour after surgery.
Pain Scores
Pain will be assessed at rest using the visual analog scale on a scale from 0 (no pain) to 100 (worst pain). Pain assessment will be done at 0st, 1st, 2nd, 12th, and 24th hours after surgery.
Total Postoperative Opioid Consumption During the First 24 Hours AfterSurgery
Total Postoperative Opioid Consumption During the First 24 HoursAfter Surgery
Click on the lead sponsor to view all of their trials.
Diskapi Yildirim Beyazit Education and Research Hospital
Lead sponsor
Ankara Etlik City Hospital
Sponsor institution
This trial is not recruiting at the moment. You can still explore other options:
