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The aim of the study is to compare the analgesic efficacy of Us guided retrolaminar block versus transversus abdominis plane block in patient under going abdominal plastic surgery
Pain from intra abdominal surgery is a combination of somatic and visceral pain visceral pain transmitted by autonomic nervous system via sympathetic fibers from plexuses in close proximity to the viscera them selves Regional anesthetic are commonly used to prevent or minimize these side effect the use of ultra sound nerve block are commonly use as apart of multimodal post operative analgesia The tab block is used to decrease the need of post operative analgesia in patient undergoing abdominal plastic surgery It was found an alternative approach to para vertebral block the retro laminar block is performed with us guided imaging to reduce pain post operative and need analgesia
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Retrolaminar block in abdominal plastic surgery | Active Comparator | In first group induction done with general anaesthia then Patient will receive bilateral us guided rertrolaminar block then bubivacane ,25%with dexa methasone 4mg as addiditive injected on the lamina at dose 20ml injected each side |
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| Tab block as post operative analgesia in abdominal plastic surgery | Active Comparator | In secound group after general anaesthia induction bilateral us guided tap block with ,25%bupivacaine with dexamethasone 4mg as addiditve injected on the lamina at doses 20ml in each side |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tab block versus retrolaminar block in abdominal plastic surgery | Procedure | i inject 20ml bupivacine either 4mg dead in each side |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total dose of morphine consumption in the first postoperative 24hours | Total dose of morphine consumption in the first postoperative 24hours | First 24hours |
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Inclusion Criteria:
- 90patients aged 18/65years of both sexes and asa physical status one two and three undergoing abdominal plastic surgery
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hadeel Elsagheer, Master | Contact | 01090884208 | Dodoelsagheer@gmail.com | |
| Tayseer Abdelrahman | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Hadeel Elsagheer | Tanta University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| TantaU U | Recruiting | Tanta | Egypt |
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| ID | Term |
|---|---|
| D001733 | Bites and Stings |
| ID | Term |
|---|---|
| D011041 | Poisoning |
| D064419 | Chemically-Induced Disorders |
| D014947 | Wounds and Injuries |
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