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During laparoscopic surgery, the abdomen is inflated with carbon dioxide for abdominal imaging and increased intraabdominal pressure affects intraabdominal structures and abdominal wall.
The investigators aimed to investigate the effects of regional anesthesia methods administered during laparoscopic cholecystectomy on abdominal wall oxygenation and postoperative pain scores.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line before the disease operation begins. |
|
| Group E | Active Comparator | Thoracic Epidural block +The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line before the disease operation begins. |
|
| Group Q | Active Comparator | Ultrasound guided unilateral anterior Quadratus Lumborum block +The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line before the disease operation begins. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| regional oxymetry probe | Device | The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line before the disease operation begins. |
| Measure | Description | Time Frame |
|---|---|---|
| rso2 | The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line | peroperative 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale | Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0=no pain, 10=intolerable pain) | Postoperative 24 hours |
| tramadol consumption |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| korgün Ökmen, M.D | Contact | 05057081021 | korgunokmen@gmail.com | |
| Burcu Metin Ökmen, M.D | Contact | 05057081020 | burcumetinokmen@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Korgün Ökmen, M.D | Bursa Yuksek Ihtisas Training and Research Hospital | Principal Investigator |
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prospective,randomized
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Participant, Outcomes Assessor
|
| Quadratus Lumborum block | Procedure | Ultrasound guided unilateral anterior Quadratus Lumborum block with 20 ml %0.25 bupivacaine+The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line before the disease operation begins. |
|
| Thoracic Epidural block | Procedure | Thoracic Epidural block with 20 ml %0.25 bupivacaine+The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line before the disease operation begins. |
|
tramadol consumption with PCA (patient-controlled analgesia ) device
| Postoperative 24 hours |
| additional analgesic use | additional analgesic use (paracetamol and NSAİD) | Postoperative 24 hours |