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It is important to decrease the postoperative pain in patients undergoing cytoreductive surgery and hyperthermic intra-peritoneal chemotherapy. We will compare the Transversus abdominis plane block with the Transversus abdominis plane block plus intramuscular electrical stimulation in patients undergoing cytoreductive surgery and hyperthermic intra-peritoneal chemotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| I (IVPCA) | Active Comparator | Intravenous patient controlled analgesia will be performed. |
|
| II (IVPCA+TAP) | Active Comparator | Intravenous patient controlled analgesia and transversus abdominis plane block will be performed. |
|
| III (IVPCA, IMS, and TAP) | Active Comparator | Intravenous patient controlled analgesia, transversus abdominis plane block, and intramuscular muscular stimulation will be performed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IVPCA | Procedure | Intravenous patient controlled analgesia will be performed. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | Pain score will be measured using visual analogue scale (0: no pain, 10: worst imaginable pain) at postoperative day 1. | At postoperative day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | Pain score will be measured using visual analogue scale (0: no pain, 10: worst imaginable pain) at postoperative day 0, 2, 3, 5, 7, 14 and 28. | At postoperative day 2, 3, 5, 7, 14 and 28 |
| IVPCA consumption |
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Inclusion Criteria:
-Patients who are able to do daily activity and walk independently.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GangnamSeveranceHospital | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36999805 | Derived | Kim HC, Park J, Oh J, Kim M, Park EJ, Baik SH, Song Y. Analgesic effects of combined transversus abdominis plane block and intramuscular electrical stimulation in patients undergoing cytoreductive surgery followed by hyperthermic intraperitoneal chemotherapy: a randomized controlled trial. Int J Surg. 2023 May 1;109(5):1199-1207. doi: 10.1097/JS9.0000000000000383. |
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| TAP |
| Procedure |
Transversus abdominis plane block will be performed. |
|
| IMS | Procedure | Intramuscular electrical stimulation will be performed. |
|
Intravenous patient controlled analgesia consumption will be measured at postoperative day 0, 1, 2, and 3.
| At postoperative day 1, 2, and 3 |
| Nausea will be evaluated using 2 point scale (yes, no) | Nausea will be evaluated using 2 point scale (yes, no) at postoperative day 1, 2, 3, 5 and 7. | At postoperative day 1, 2, 3, 5 and 7 |
| Vomiting will be evaluated using 2 point scale (yes, no) | at postoperative day 1, 2, 3, 5 and 7. |
| Peak cough flow | Peak cough flow will be evaluated at postoperative day -1, 4, 7, 14, and 28. | At postoperative day -1, 4, 7, 14, and 28 |
| Gait speed | Gait speed will be evaluated at postoperative day -1, 4, 7, 14, and 28. | day -1, 4, 7, 14, and 28 |
| Quality of life will be evaluated using QoR40 questionnaire (0-200) | Quality of life will be evaluated using QoR40 questionnaire (0-200) at postoperative day 4 and 7. | At postoperative day 4 and 7 |