Post-surgical Chronic Pain After Retroperitoneal Laparoscopic Living Kidney Donor

Study Overview
=================
Brief Summary
-----------------
This study aimed to determine the relationship between the quadratus lumborum and erector spinae plane block technique and the incidence and severity of chronic post-surgical pain in accordance with Brief Pain Inventory Score (BPI) in retroperitoneal laparoscopic living kidney donor surgery

Detailed Description
-----------------
A minimum of 130 subjects will be recruited and divided into two groups (65 QL block, 65 ESP block). The researcher will use the Brief Pain Inventory (BPI) score to assess the incidence and severity of chronic pain of the living kidney donor who has undergone retroperitoneal laparoscopy with QL or ESP block technique

Official Title
-----------------
Post-surgical Chronic Pain After Retroperitoneal Laparoscopic Living Kidney Donor in Cipto Mangunkusumo Hospital: Comparison Analysis of Brief Pain Inventory (BPI) in Erector Spinae Plane (ESP) Block VS Quadratus Lumborum (QL) Block

Conditions
-----------------
Chronic Post Operative Pain, Kidney Transplant; Complications, Anesthesia Regional, Laparoscopy

Intervention / Treatment
-----------------
* Procedure: Quadratus lumborum (QL) block
* Procedure: Erector Spinae Plane (ESP) Block


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patient 18-65 years old Patient with ASA physical status assessment 1-3 All patient who have undergone living kidney donor with retroperitoneal laparoscopy at RSUPN Dr. Cipto Mangunkusumo (3 months postoperative) The patient and/ or the family are willing to be interviewed about the patient's previous medical history and agree to be the subject of the study. Exclusion Criteria: Patient who have already known the cause of the chronic pain they had Patient who have history of major surgery after the donor surgery Patient died during the study

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Chronic post-surgical pain<br>Living kidney donor with the incidence of chronic post-surgical pain | Procedure: Quadratus lumborum (QL) block<br>* bilateral anterior subcostal quadratus lumborum block<br>Procedure: Erector Spinae Plane (ESP) Block<br>* bilateral erector spinae plane block<br>|
| Non-Chronic Post-surgical pain<br>Living kidney donor without the incidence of chronic post-surgical pain | Procedure: Quadratus lumborum (QL) block<br>* bilateral anterior subcostal quadratus lumborum block<br>Procedure: Erector Spinae Plane (ESP) Block<br>* bilateral erector spinae plane block<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Chronic post-surgical pain | the correlation between QL and ESP block technique and the incidence of chronic post-surgical pain | 3 months after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The incidence of chronic post-surgical pain | the incidence of patients with chronic post-surgical pain 3 months after surgery | 3 months after surgery | 
| The severity of chronic post-surgical pain Brief Pain Inventory (BPI) | the severity of chronic post-surgical pain 3 months after surgery. Assessed in The Brief Pain Inventory (BPI) short version. Zero (0) represent no pain and Ten (10) represent pain as bad as you can imagine. | 3 months after surgery | 
| Impact of chronic post-surgical pain on the daily activities (pain interferences) | Impact of chronic post-surgical pain on daily activities (pain interferences). Assessed using The Brief Pain Inventory (BPI), described in 0 (zero) does not interfere and 10 (ten) completely interferes daily activities. | 3 months after surgery |