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The goal of this randomized controlled trial is to compare laparoscopic guided peri-wound Transversus Abdominis Plane Block and bupivacaine versus local wound infiltration effect on reducing post-op opioid use in Laparoscopic Sleeve gastrectomy. The main questions it aims to answer are:
• Can laparoscopic guided peri-wound Transversus Abdominis Plane Block reduced post operative morphine usage when comparing with local wound port site infiltration.
Participants will be randomize into 2 group
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| local wound infiltration | Active Comparator | 0.25% Bupivacaine 20ml was injected into the wound subcutaneous tissue after the laparoscopic port was removed |
|
| peri-wound Transversus Abdominis Plane Block | Experimental | 0.25% Bupivacaine 20ml was injected into the transversus abdominis plane around the wound before the laparoscopic port was removed |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| peri-wound Transversus Abdominis Plane Block | Procedure | 0.25% bupivacaine 20ml was injected using no24 needle into a plane between internal oblique muscle and transversus abdominis muscle around every wound 2 cm. from wound opening. The procedure was confirmed by laparoscopic vision and the injection was done before removal of laparoscopic port. |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative morphine use | 48hours after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Post op VAS pain score | 48hours after intervention | |
| length of hospital stay | within admission | |
| opioid side effect |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Thanatat Panitphong, Doctor of Medicine | Contact | +66888868621 | thanatat.panitphong@gmail.com | |
| Suriya Punchai, Assistant Professor | Contact | +6686-8624484 |
| Name | Affiliation | Role |
|---|---|---|
| Thanatat Panitphong, Doctor of Medicine | Khon Kaen University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Srinagarind hospital | Recruiting | Khon Kaen | Northeastern | 40000 | Thailand |
all collected IPD
Data requests can be submitted starting 9 months after article publication and the data will be made accessible for up to 24 months. Extensions will be considered on a case-by-case basis
Access to trial IPD can be requested by qualified researchers engaging in independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA).
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Periwound-TAP block using 0.25%Bupivacain 20ml and local wound infiltration using 0.25%Bupivacain 20ml
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|
|
| Local wound infiltration | Procedure | 0.25% bupivacaine 20ml was injected using no24 needle into subcutaneous tissue after the abdominal sheet was sutured. |
|
| within admission |
| PACU time | 1day after intervention |
| postop complication | 2weeks after intervention |
| ID | Term |
|---|---|
| D009767 | Obesity, Morbid |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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