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NCT07740252

Overview

NCT ID: NCT07740252
Lead Sponsor: Namik Kemal UniversityOTHER
Official Title: Retrospective Evaluation of the Effect of the Modified Thoracoabdominal Nerve Block Through a Perichondrial Approach on Postoperative Analgesic Consumption in Patients Undergoing Total Laparoscopic Hysterectomy
Brief Summary: This single-center retrospective cohort study evaluated the effect of the modified thoracoabdominal nerves block through a perichondrial approach (M-TAPA) on postoperative analgesia in patients undergoing elective total laparoscopic hysterectomy. Medical records of 60 patients who underwent surgery at Tekirdag Namik Kemal University Faculty of Medicine Hospital between December 25, 2023 and December 25, 2024 were retrospectively reviewed. Patients who received bilateral ultrasound-guided M-TAPA block were compared with patients who received standard general anesthesia and systemic analgesia without M-TAPA block. The primary outcome was cumulative tramadol consumption during the first 24 postoperative hours. Secondary outcomes included postoperative Visual Analog Scale (VAS) pain scores at predefined time points, rescue analgesic requirements, postoperative nausea and vomiting, Quality of Recovery-15 (QoR-15) scores, and block-related complications.

Status and Timeline

Status: Completed
Last Update Posted: Jul 31, 2026Actual
Start Date: Dec 25, 2023Actual
Primary Completion Date: Dec 25, 2024Actual
Completion Date

Participation Criteria

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

Female patients aged 18 to 65 years.

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

Undergoing elective total laparoscopic hysterectomy under general anesthesia.

Availability of complete perioperative and postoperative medical records.

Exclusion Criteria:

Neurological disorders affecting pain perception.

Coagulopathy or bleeding disorders.

Known allergy to local anesthetics.

Chronic opioid use before surgery.

Body mass index (BMI) greater than 35 kg/m².

Incomplete medical records.

Study Plan

Study Type: Observational
Phase: No data available
Enrollment: 60Actual
Primary Purpose: No data available
Allocation: No data available
Interventional Model: No data available
Masking: No data available

Contacts and Locations

Central Contacts: No data available
Locations: Tekirdag Namik Kemal University Faculty of Medicine Hospital

Similar Studies

Participant Group/Arms

M-TAPA Group

Patients who underwent elective total laparoscopic hysterectomy under general anesthesia and received bilateral ultrasound-guided modified thoracoabdominal nerves block through a perichondrial approach (M-TAPA) in addition to standard perioperative analgesia.

Procedure: Modified thoracoabdominal nerves block through a perichondrial approach (M-TAPA)

Control Group

Patients who underwent elective total laparoscopic hysterectomy under general anesthesia and received standard perioperative analgesia without modified thoracoabdominal nerves block through a perichondrial approach (M-TAPA).