This study aims to investigate the effectiveness of a specific regional anesthesiatechnique, the Modified-Thoracoabdominal Nerve Block through a Perichondrial Approach(M-TAPA), on reducing pain after laparoscopic hysterectomy surgery. Hysterectomy is acommon major surgical procedure, and managing postoperative pain is crucial for patientcomfort and faster recovery.Participants will be randomly assigned to one of two groups:The M-TAPA Group: Patients will receive the nerve block using a local anesthetic(bupivacaine) before the surgery begins.The Control Group: Patients will receive standard postoperative pain management withoutthe nerve block.The primary goal is to determine if the M-TAPA block reduces the total amount of opioid(morphine) used by patients in the first 24 hours after surgery. The researchers willalso evaluate pain scores (NRS), the time until the first request for additional painmedication, patient satisfaction, and any side effects like nausea or vomiting
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Procedure: Modified-Thoracoabdominal Nerve Block through a Perichondrial Approach (M-TAPA)
Under ultrasound guidance, a 22-gauge peripheral block needle is inserted at the
costochondral angle (9th-10th ribs). After confirming the position, 20 ml of 0.25%
bupivacaine is injected bilaterally into the lower part of the chondrium.
Inclusion Criteria:
- Aged between 18 and 70 years
- ASA (American Society of Anesthesiologists) physical status I, II, or III
- Scheduled for elective laparoscopic hysterectomy
- Voluntary participation with signed informed consent
Exclusion Criteria:
- Hepatic or renal disease.
- Coagulation disorders.
- Uncontrolled cardiovascular or respiratory diseases.
- Psychiatric disorders.
- History of allergy to local anesthetics.
- History of alcoholism, drug or substance abuse.
- Body Mass Index (BMI) greater than 35 kg/m2
- Refusal of the regional block procedure
Istinye University Liv Hospital Bahcesehir
Istanbul, Turkey (Türkiye)
Investigator: onur senyurt
Contact: +905520265992
senyurtonur@yahoo.com
onur senyurt
+905520265992
senyurtonur@yahoo.com
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