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Zaghiyan et al hypothesized that Laparoscopic TAP was noninferior to US-TAP and performed a randomized clinical trial comparing Laparoscopic TAP, US-TAP, and no TAP in minimally invasive colorectal surgery. The authors reported that LTAP was superior to UTAP in achieving pain control and minimizing opioid use in the first 24 hours after colorectal surgery.
This prospective randomized, controlled trial will be performed to assessed the efficacy of laparoscopic subcostal TAP block (LSTAP) compared to ultrasound-guided subcostal TAP (USTAP) block after laparoscopic cholecystectomy regarding postoperative pain scores in the first 24-hours after the intervention and analgesic requirements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laparoscopic TAP | Active Comparator | Subcostal TAP block will be performed after surgery under laparoscopic guidance |
|
| US TAP | Active Comparator | Subcostal TAP block will be performed after surgery under ultrasound guidance |
|
| No TAP | No Intervention | No TAP block will be performed |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopic TAP | Procedure | Subcostal TAP block will be performed after surgery under laparoscopic guidance |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | pain will be assessed with visual analogue scale from 0-10 | 24 hours after cholecystectomy |
| Measure | Description | Time Frame |
|---|---|---|
| Analgesic requirement | the need for intravenous analgesia after surgery calculated as the cumulative dose of analgesic administered over 24 hours | 24 hours after cholecystectomy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sameh H Emile, M.D. | Contact | +201006267150 | sameh200@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Sameh H Emile, M.D. | Mansoura University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mansoura university hospital | Recruiting | Al Mansurah | Dakahlia Governorate | 35516 | Egypt |
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| ID | Term |
|---|---|
| D002764 | Cholecystitis |
| D042882 | Gallstones |
| ID | Term |
|---|---|
| D005705 | Gallbladder Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D002769 | Cholelithiasis |
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| US TAP | Procedure | Subcostal TAP block will be performed after surgery under US guidance |
|
| D041761 |
| Cholecystolithiasis |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |