Postoperative Analgesia in Major Gynecological Cancer Surgeries

The Effect of Epidural Analgesia and Erector Spinae Plane Block on Intraoperative and Early Postoperative Outcomes in Open Gynecological Oncological Surgeries: a Prospective Randomized Study

The aim of this study is to compare the effectiveness of epidural block or erector spinae plane block applied for postoperative analgesia in gynecological cancer surgeries.

The main question(s) it aims to answer are:

[Is erector spinae plane block as effective as epidural block in postoperative analgesia?] The study was designed as a prospective randomized study. Researchers evaluated the effects of epidural block or erector spinae plane block applied for postoperative analgesia on pain scores, postoperative opioid use, and mobilization in patients undergoing gynecological cancer surgery.

Our study was designed as a prospective randomized study. The investigators evaluated the analgesia methods used in patients undergoing surgery for gynecologic cancer between May 2024 and December 2024. The investigators evaluated the effect of epidural block or erector spina plan block on postoperative analgesia, opioid use and mobilization.

Group 1: Epidural block group Group 2: Group with erector spina plan block

Inclusion Criteria:

• Patients who will undergo open abdominal surgery
• Patients with ASAII-III
• Those between the ages of 30-70
• Patients who are fully oriented and able to cooperate

Exclusion Criteria:

• Patients with ASAIV-V
• Presence of active infection in the area where the block will be applied
• Patients younger than 30 years old
• Patients with BMI > 40
• Patients who are allergic to bupivacaine
• Chronic analgesic use