Effect of Different Plane Blocks on Quality of Recovery and Postoperative Pain After Laparoscopic Hysterectomy
Post Operative Pain
About this trial
This is an interventional treatment trial for Post Operative Pain focused on measuring tap block, esp block, postoperative pain, recovery
Eligibility Criteria
Inclusion Criteria: Female patients who will undergo hysterectomy under elective conditions 18- 65 years ASA I-II patients Exclusion Criteria: Refusal during registration, request to be excluded from the study, failure to give informed consent Under 18 years old and upper 65 years old ASA III-IV patients Chronic opioid use Presence of infection at the injection site Renal failure / Liver failure Bupivacaine sensitivity Use of anticoagulants BMI < 18,5 , BMI >35
Sites / Locations
- Pelin Dilsiz EkerRecruiting
Arms of the Study
Arm 1
Arm 2
Other
Active Comparator
tap block
esp block
Tap block is one of the frequently used field blocks for analgesia management of abdominal surgery. At the end of surgery and general anesthesia, transversus abdominis fascial plane will be detected with using lineer usg probe. With in-plane tecnique after placement of the needle in the transversus abdominis fascial plane, and careful aspiration to exclude vascular puncture, a test dose of 1 mL will be injected to determine resistance to flow, and confirm needle tip placement within the fascial plane. After this, 20 ml local anaestetic mixture will be injected through the needle. The TAP block will be then performed on the opposite side using an identical technique.
The effectiveness of esp block is also evaluated in abdominal surgery after spinal surgery, thoracic and cardiovascular surgery. At the end of surgery and general anesthesia, in the lateral decubitus position, the linear probe will be placed approximately 3 cm lateral to the T10 spinous process, in the parasagittal plane. With the in-plane technique, when the block needle rests on the transverse process (approximately 3cm in depth), the erector spina plan will be confirmed with a 0.5-1 mL 0.9% NaCl test dose. 20 ml of local anesthetic mixture will be applied to the confirmed area. The procedure will be applied bilaterally.