Other blocks: Fascial plane blocks (TAP, QL, ESP, Rectus sheath)
Study summary
The goal of this observational study is to learn about the effectiveness of the Deep Rectus Sheath (Preperitoneal) block in patients undergoing abdominal surgery. The main question it aims to answer is:
Does the Deep Rectus Sheath block improve postoperative recovery and pain control compared to standard care or other fascial plane blocks in patients undergoing abdominal surgery?
Participants undergoing open or laparoscopic abdominal surgery as part of their routine clinical care will receive analgesic management according to standard practice, which may include systemic analgesia alone, Deep Rectus Sheath block, or other fascial plane blocks (such as TAP, ESP, or QL), depending on anesthesiologist choice. Postoperative outcomes will be collected prospectively, including quality of recovery (QoR-15 at 24 hours), pain scores at rest and during movement up to 48 hours, analgesic consumption, time to first analgesic request, mobilization time, and occurrence of complications.
Eligibility
Sex
ALL
Min age
—
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Age ≥ 18 years
* Patients undergoing abdominal surgery, either open or laparoscopic
* ASA physical status I-III
* Neuraxial or general anesthesia according to standard clinical practice
* Provision of informed consent to participate in the study
Exclusion Criteria:
* Refusal to provide informed consent
* Contraindications to locoregional anesthesia
* Known allergy to local anesthetic agents
* Coagulation disorders or incompatible anticoagulant therapy
* Infection at the injection site
* Cognitive impairment preventing reliable assessment of outcomes
Primary outcome measure(s)
Quality of Recovery-15 (QoR-15) score — 24 hours postoperatively The Quality of Recovery-15 (QoR-15) is a validated patient-reported outcome measure designed to assess the quality of postoperative recovery across multiple dimensions of physical and psychological well-being.
The questionnaire consists of 15 items, each scored on an 11-point numerical scale, resulting in a total score ranging from:
Minimum score: 0 → extremely poor quality of recovery Maximum score: 150 → excellent quality of recovery
Higher QoR-15 scores indicate a better postoperative recovery experience.
The questionnaire evaluates five key domains:
Pain Physical comfort Physical independence Psychological support Emotional state
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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