Transversus Abdominis Plan Block, Ultrasound or Laparoscopic?

Study Overview
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Brief Summary
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Abdominal wall blocks are frequently used as part of multimodal analgesia for pain control after abdominal surgery. There are studies using the Transversus Abdominis Plane Block for postoperative pain control in laparoscopic cholecystectomies. In this study, the investigators aimed to compare the advantages of these two methods by applying the Transversus Abdominis Plan Block for postoperative pain control after laparoscopic cholecystectomy with the help of postoperative USG and laparoscopy during surgery.In this study, the investigators aimed to compare the advantages of these two methods by applying the Transversus Abdominis Plan Block for postoperative pain control after laparoscopic cholecystectomy with the help of postoperative USG and LAPAROSCOPY during surgery.

Detailed Description
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A total of 60 patients aged 18-65, ASA 1-2-3, who will undergo elective laparoscopic cholecystectomy in our hospital, will be included in the study. Patients will be randomly divided into 3 groups with ultrasound (USG) guided (GROUP 1: USG) , Laparoscopic application (GROUP 2: LAP) and GROUP 3 :No-TAP blok Each group consists of 20 evil people. Written consent will be obtained by explaining the procedure to be performed before the operation to the patients. The Transversus Abdominis Plan Block will be applied to the patients by a blind anesthesiologist according to their group. The block to be made by the anesthesiologist who will apply the block procedure will be given in a closed envelope.

Official Title
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Transversus Abdominis Plan Block Applied in Laparoscopic Cholecystectomies Effective By Which Method: Ultrasound or Laparoscopic?

Conditions
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Bupivacaine, Anesthetics, Local, Anesthetics, Peripheral Nervous System Agents

Intervention / Treatment
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* Drug: bupivacaine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ASA I,II,III Patients 18-65 laparoscopic cholecystectomy Exclusion Criteria: ASA III higher history of pain relief medication dependence history of substance abuse end stage chronic kidney disease advanced liver disease history of chronic pain -history of taking opioids or neuropathic agents regularly prior to surgery- BMI of 50 or over skin infections at the site of TAP block injection or port sites.

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

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Laparoscopic TAP block<br>Laparoscopic assisted TAP block will be done by surgeon intra-operatively | Drug: bupivacaine<br>* In one arm the TAP infiltration will contain 10 mL of 0.25 % bupivacaine injected . This will then be repeated on the contralateral side.<br>|
| Active Comparator: Ultrasaund TAP block<br>injecting bupivacaine in transversus abdominis plane to block the somatic nerves | Drug: bupivacaine<br>* In one arm the TAP infiltration will contain 10 mL of 0.25 % bupivacaine injected . This will then be repeated on the contralateral side.<br>|
| No Intervention: no TAP block<br>no TAP block would be done | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean postoperative static and dynamic numeric rating scale (NRS) at 24 hours | o compare the mean NRS at 0hr, 1hr, 2 hrs. 6 hrs. 12 hrs. and 24hrs. post-operatively between three groups Numeric rating scale for pain,(0=no pain, 1-3= mild pain, 4-6 moderate pain, 7-10 severe pain.) | 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post operative nausea or vomiting | instances of nausea or vomiting in the post operative period will be recorded | 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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TAP block, laparoscopy, laparoscopic cholecystectomy