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This study aimed to assess the effectiveness of the ultrasound-guided interfascial injection approach with the subpectineal injection technique for obturator nerve block in bladder cancers undergoing transurethral resection of bladder tumor (TURBT) under spinal anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultrasound guided interfascial obturator nerve block | Active Comparator | In supine position, ultrasound probe will be placed on inguinal region, 2-3 cm below to the inguinal crease. Patients in this group will receive interfascial obturator nerve block under ultrasound guidance. |
|
| Ultrasound guided subpectineal obturator nerve block | Experimental | In supine position, the ultrasound probe will be placed on in inguinal region, 1-2 cm below to the inguinal crease to identiy the subpectineal area. Patients in this group will receive subpectineal obturator nerve block under ultrasound guidance. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interfascial Injection | Procedure | Interfascial Injection on Ultrasound-guided Obturator Nerve Block |
|
| Measure | Description | Time Frame |
|---|---|---|
| Success rate of obturatr nerve block | The success or fail of the obturator nerve block will be conformed using nerve stimulator. Detecting muscles twitch will br considered to be a fail. | Peroperative period |
| Measure | Description | Time Frame |
|---|---|---|
| Number of adductor muscle spazms | Number of adductor muscle spazms in each group will be noted during the intraoperative period. | Intraoperative period |
| Sensory block | Sensory block area will be evaluated by a pin prick at in the dermatomal areas related obturator nerve and branches. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Health Science University Diskapi Yildirim Beyazıt Training and Research Hospital | Yenimahalle | Ankara | 06170 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D001749 | Urinary Bladder Neoplasms |
| ID | Term |
|---|---|
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| Subpectineal Injection | Procedure | Subpectineal Injection on Ultrasound-guided Obturator Nerve Block |
|
| 30 minutes after the intervention |
| Patient satisfaction | Changes in overall satisfaction will be assessed using a 5 point Likert Scale ( 1-very dissatisfied, 2- dissatisfied, 3- neutral, 4-satisfied, 5 - very satisfied | Peroperative period |
| Procedure time | Block performance time will be recorded from the time the first ultrasound image is obtained until the procedure is completed | During the procedure |
| D052776 |
| Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |