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In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.
"Robotic-assisted laparoscopic prostatectomy (RALP) is a minimally invasive and superior technique that provides better visualization and maneuverability compared to open and laparoscopic surgical techniques. Previous studies have shown that RALP offers better postoperative oncological and physiological outcomes compared to open and laparoscopic techniques. However, RALP patients still experience pain lasting for several days postoperatively, which requires the use of analgesics such as opioids. This pain is associated with port site incisions, dissection of the prostate and surrounding tissues, bladder spasms, and transurethral catheter irritation. For this purpose, previous studies have utilized central and peripheral methods to reduce postoperative pain. Previous studies have demonstrated the analgesic benefits of TAP block and rectus sheath block in robotic-assisted radical prostatectomies. However, the number of studies in this area is limited. In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TAP Group | TAP block will be performed immediately after the induction of anesthesia, under ultrasond guidence. |
| |
| RSB Group | RSB block will be performed immediately after the induction of anesthesia, under ultrasond guidence. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAP Block | Other | TAP block will be performed immediately after the induction of anesthesia, under ultrasond guidence. |
|
| Measure | Description | Time Frame |
|---|---|---|
| post operatif analgesia consumption | postoperative iv-PCA tramadole dose for the first 24 hours from iv-PCA devices. | postoperative 24 hous |
| Measure | Description | Time Frame |
|---|---|---|
| numerical rating scale (NRS) at rest | Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient | popstoperative 1. hour |
| numerical rating scale (NRS) at rest |
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Inclusion Criteria:
Exclusion Criteria:
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Patients aged 18-79 who underwent robotic radical prostatectomy and have ASA (American Society of Anesthesiologists) physical status score of 1-3.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zeynep Koc | Contact | +905345958843 | zeynepyilmazkoc@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zeynep Koç | Yenimahalle | Ankara | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32111916 | Background | Taninishi H, Matsusaki T, Morimatsu H. Transversus Abdominis Plane Block Reduced Early Postoperative Pain after Robot-assisted Prostatectomy: a Randomized Controlled Trial. Sci Rep. 2020 Feb 28;10(1):3761. doi: 10.1038/s41598-020-60687-y. | |
| 35960649 | Background | Beilstein CM, Huber M, Furrer MA, Loffel LM, Wuethrich PY, Engel D. Impact of analgesic techniques on early quality of recovery after prostatectomy: A 3-arm, randomized trial. Eur J Pain. 2022 Oct;26(9):1990-2002. doi: 10.1002/ejp.2020. Epub 2022 Aug 21. |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| RSB | Other | Rectus Sheath block will be performed immediately after the induction of anesthesia, under Ultrasond guidence. |
|
Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient
| postoperative 6. hour |
| numerical rating scale (NRS) at rest | Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient | postoperative 16. hour |
| numerical rating scale (NRS) at rest | Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient | postoperative 24. hour |
| NRS during coughing | The NRS for pain during coughing will be recorded by asking the patient | postoperative1. hour |
| NRS during coughing | The NRS for pain during coughing will be recorded by asking the patient | postoperative 6. hour |
| NRS during coughing | The NRS for pain during coughing will be recorded by asking the patient | postoperative 16. hour |
| NRS during coughing | The NRS for pain during coughing will be recorded by asking the patient | postoperative24. hour |
| postoperative nosia and vomiting (PONV) | Recording the presence or absence of nausea and vomiting in the patient within the first 24 hours postoperatively | postoperative 24 hours |
| 38669407 | Background | Cosarcan SK, Gurkan Y, Manici M, Ozdemir I, Kilic M, Esen T, Ercelen O. The effect of ultrasound-guided rectus sheath block on postoperative analgesia in robot assisted prostatectomy: A randomized controlled trial. Medicine (Baltimore). 2024 Apr 26;103(17):e37975. doi: 10.1097/MD.0000000000037975. |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |