Comparison of Analgesic Effects of TAP Block and RSB in RALPs

NCT ID: NCT06681571

Last Updated: 2024-11-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-11-20

Study Completion Date

2025-01-30

Brief Summary

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In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.

Detailed Description

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"Robotic-assisted laparoscopic prostatectomy (RALP) is a minimally invasive and superior technique that provides better visualization and maneuverability compared to open and laparoscopic surgical techniques. Previous studies have shown that RALP offers better postoperative oncological and physiological outcomes compared to open and laparoscopic techniques. However, RALP patients still experience pain lasting for several days postoperatively, which requires the use of analgesics such as opioids. This pain is associated with port site incisions, dissection of the prostate and surrounding tissues, bladder spasms, and transurethral catheter irritation. For this purpose, previous studies have utilized central and peripheral methods to reduce postoperative pain. Previous studies have demonstrated the analgesic benefits of TAP block and rectus sheath block in robotic-assisted radical prostatectomies. However, the number of studies in this area is limited. In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.

Conditions

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Postoperative Pain

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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TAP Group

TAP block will be performed immediately after the induction of anesthesia, under ultrasond guidence.

TAP Block

Intervention Type OTHER

TAP block will be performed immediately after the induction of anesthesia, under ultrasond guidence.

RSB Group

RSB block will be performed immediately after the induction of anesthesia, under ultrasond guidence.

RSB

Intervention Type OTHER

Rectus Sheath block will be performed immediately after the induction of anesthesia, under Ultrasond guidence.

Interventions

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TAP Block

TAP block will be performed immediately after the induction of anesthesia, under ultrasond guidence.

Intervention Type OTHER

RSB

Rectus Sheath block will be performed immediately after the induction of anesthesia, under Ultrasond guidence.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients aged 18-79 who underwent robotic radical prostatectomy
* Patients have ASA (American Society of Anesthesiologists) physical status score of 1-3.

Exclusion Criteria

* Patients with an allergy to local anesthetic agents
* a platelet count below 100,000
* INR value above 2
Minimum Eligible Age

18 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Diskapi Yildirim Beyazit Education and Research Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Zeynep Koc

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Zeynep Koç

Yenimahalle, Ankara, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Zeynep Koc

Role: CONTACT

+905345958843

References

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Taninishi H, Matsusaki T, Morimatsu H. Transversus Abdominis Plane Block Reduced Early Postoperative Pain after Robot-assisted Prostatectomy: a Randomized Controlled Trial. Sci Rep. 2020 Feb 28;10(1):3761. doi: 10.1038/s41598-020-60687-y.

Reference Type BACKGROUND
PMID: 32111916 (View on PubMed)

Beilstein CM, Huber M, Furrer MA, Loffel LM, Wuethrich PY, Engel D. Impact of analgesic techniques on early quality of recovery after prostatectomy: A 3-arm, randomized trial. Eur J Pain. 2022 Oct;26(9):1990-2002. doi: 10.1002/ejp.2020. Epub 2022 Aug 21.

Reference Type BACKGROUND
PMID: 35960649 (View on PubMed)

Cosarcan SK, Gurkan Y, Manici M, Ozdemir I, Kilic M, Esen T, Ercelen O. The effect of ultrasound-guided rectus sheath block on postoperative analgesia in robot assisted prostatectomy: A randomized controlled trial. Medicine (Baltimore). 2024 Apr 26;103(17):e37975. doi: 10.1097/MD.0000000000037975.

Reference Type BACKGROUND
PMID: 38669407 (View on PubMed)

Other Identifiers

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ZeynepKoc002

Identifier Type: -

Identifier Source: org_study_id

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