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NCT07720817

Overview

NCT ID: NCT07720817
Lead Sponsor: Mansoura UniversityOTHER
Official Title: Safety and Efficacy of Ultrasound Guided Retrolaminar Block Versus Transverse Abdominis Plane Block on Quality of Recovery in Laparoscopic Upper Abdominal Surgeries: A Randomized Comparative Clinical Trial
Brief Summary: This study aims to compare and evaluate the safety and efficacy of ultrasound guided retrolaminar block versus transverse abdominis plane block in laparoscopic upper abdominal surgeries. Both RLB and TAP blockade are hypothesized to reduce analgesic consumption, manage pain effectively and minimize side effects but their comparative effectiveness has not yet to be thoroughly explored.
Conditions: Retrolaminar Block
TAP Block
Laparoscopic Abdominal Surgeries

Ages Eligible for Study: Adult (18-64)Older Adult (65+)
Sexes Eligible for Study: All
Accepts Healthy Volunteers?: No
Eligibility Criteria: Inclusion Criteria:

Age between 21 and 65 years.

American Society of Anesthesiologists (ASA) physical status I or II.

Body mass index (BMI) less than 30 kg/m².

Scheduled for elective laparoscopic upper abdominal surgery under general anesthesia.

Exclusion Criteria:

Refusal to participate in the study.

Known allergy or hypersensitivity to any of the study drugs.

Infection at the planned block insertion site.

Severe uncontrolled cardiac, renal, hepatic, neurological, or respiratory disease.

Pre-existing chronic pain.

Immunodeficiency.

Coagulation abnormalities, anticoagulant therapy, or platelet count less than 80,000/µL.

Emergency surgery.

Central Contacts: mohamed elnagar Mohamed A. Elnagar MB BCh, MB BChContact
melnaggar789@gmail.com

Participant Group/Arms

Retrolaminar Block GroupExperimental

Patients will receive an ultrasound-guided retrolaminar block using 20 ml of 0.25% of bupivacaine administered at the T7 level at both sides

Procedure: Ultrasound-guided Retrolaminar Block group

Transverses Abdominis Plane (TAP) Block GroupActive Comparator

Patients will receive an ultrasound-guided TAP block using 20 ml of 0.25% bupivacaine at both sids

Procedure: Transverses Abdominis Plane (TAP) Block Group