M-Tapa Block vs External Oblique Intercostal Block for Laparoscopic Cholesistectomy
Status:
Not yet recruiting
Trial end date:
2022-11-30
Target enrollment:
Participant gender:
Summary
Ultrasound (US)-guided Modified Perichondral Approach Thoracoabdominal Nerve (M-TAPA) block
is a novel block that provides effective analgesia in the anterior and lateral abdominal
walls after laparoscopic surgery, and local anesthetic is applied only to the lower side of
the perichondral surface. M-TAPA block is a good alternative for analgesia of the upper
dermatome levels and the abdominal lateral wall and may be an opioid-sparing strategy with
good quality recovery in patients undergoing laparoscopic surgery.
US-guided External oblique intercostal block (EOB) is a block performed by injection of local
anesthetic between the external and internal oblique muscles. This block provides abdominal
analgesia between T6-T10 levels. There are studies in the literature showing that it provides
effective analgesia. However, there is no study comparing M-TAPA and EOB yet.
In this study, our aim is to compare the effectiveness of US-guided M-TAPA block and EOB for
postoperative analgesia management after laparoscopic cholecystectomy surgery. Our primary
aim is to compare patient recovery scores (QoR15 Turkish version), our secondary aim is to
compare postoperative pain scores (24-hour NRS), postoperative rescue analgesic use (opioid),
and opioid-related side effects (allergic reaction, nausea, vomiting).