M-TAPA vs RSB in Midline Abdominal Incision Laparotomy

NCT07233629 · tracked via the Priya Life Science Turkey tracker

Sponsor

Cumhuriyet University

Phase

Not applicable

Started

2023-06-01

Last updated

2025-11-18

Condition(s) studied

Postoperative PainLaparotomy

Investigational drug(s) / intervention(s)

Modified thoracoabdominal nerve block through perichondrial approach (M-TAPA)Rectus Sheath Block

Modified thoracoabdominal nerve block through perichondrial approach (M-TAPA): 20 mL of 0.25% bupivacaine on each side

Rectus Sheath Block: 20 mL of 0.25% bupivacaine on each side

Study summary

The aim is to compare the postoperative analgesic effects of Modified ThoracoAbdominal nerve block through Perichondrial Approach (M-TAPA) versus Rectus Sheath Block (RSB) in patients undergoing laparotomy with midline abdominal incision.

Eligibility

Sex

ALL

Min age

18 Years

Max age

85 Years

Healthy volunteers

Inclusion Criteria: * Adult patients older than 18 years of age who underwent laparotomy with midline incision under general anesthesia and were American Society of Anesthesiologists (ASA) I-II-III according to the ASA risk classification. Exclusion Criteria: * patients who did not give consent, * patients with coagulopathy, * patients with signs of infection at the block application site, * patients using anticoagulants, * patients with local anesthetic drug allergies, * patients with unstable hemodynamics, * patients who could not cooperate during postoperative pain assessment * patients who received ileostomy or colostomy

Primary outcome measure(s)

Numeric Rating Scale (NRS) Scores — Postoperative 24 hours
Numerical rating scale is used for pain assessment. The scores of the numerical rating scale changes between 0 to 10 points. 10 points mean "the most severe pain that the patient ever had". 0 point means "there is no pain." Higher scores mean worse outcome.
Total tramadol consumption — Postoperative 24 hours
Postoperative total rescue analgesic need was recorded as "milligram" in unit.

Trial sites (1)

Facility	City	Region	Status
Sivas Cumhuriyet University	Sivas	Sivas

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Official registry record

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.

View NCT07233629 on ClinicalTrials.gov ↗ ← All trials in Turkey