Although laparoscopic techniques are considered minimally invasive surgical procedureswith lower perioperative pain scores compared to open surgeries, they are stillassociated with significant levels of pain. This study aims to investigate the analgesiceffectiveness of two routinely performed regional analgesic techniques in ourclinic-ultrasound-guided classic bilateral TAP block and ultrasound-guided bilateralM-TAPA block-in patients undergoing laparoscopic gyneco-oncologic surgery (LGOS), as wellas their effects on intraoperative opioid consumption.
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Procedure: TAP Block Group
Patients in the TAP group will receive a bilateral Transversus Abdominis Plane (TAP)
block under ultrasound guidance prior to surgery after general anaesthesia, with the
local anesthetic administered between the internal oblique and transversus abdominis
muscles. A total of 40 mL of 0.25% bupivacaine will be used for the procedure.
Procedure: M-TAPA Block group
Patients in the M-TAPA group will receive a bilateral Thoracoabdominal Nerve Block
through Perichondrial Approach (M-TAPA) under ultrasound guidance prior to surgery after
general anaesthesia. A total of 40 mL of 0.25% bupivacaine will be used for the
procedure.
Inclusion Criteria:Female patients aged between 18 and 80 years, classified as ASA
physical status I to III, undergoing laparoscopic gynecologic surgery under general
anesthesia -
Exclusion Criteria:Coagulopathy
Neuropathy
Chronic analgesic therapy
Severe cardiopulmonary disease
Uncontrolled diabetes mellitus (HbA1c > 8%)
Severe renal or hepatic failure
Pregnancy or lactation
Body mass index (BMI) greater than 35 kg/m²
Local infection at the injection site
Inability to comprehend pain scores or cooperate (e.g., Alzheimer's disease, mental
retardation)
Allergy to local anesthetic agents
Refusal to participate in the study
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Ankara Etlik City Hospital
Ankara, Turkey
Investigator: ela erdem hıdıroglu
Contact: +905348874184
drelaerdem@gmail.com
ELA ERDEM HIDIROGLU
03127970000
drelaerdem@gmail.com
Not Provided