COMPARISON OF TRANSVERSUS ABDOMINIS PLANE BLOCK, LOCAL ANESTHETIC INJECTION TO THE PORT SITES AND INTRAPERITONEAL LOCAL ANESTHESIA APPLICATIONS IN POSTOPERATIVE PAIN MANAGEMENT IN PATIENTS WITH LAPAROSCOPIC APPENDECTOMY (APPENDECTOMY)
Postoperative Pain
About this trial
This is an interventional supportive care trial for Postoperative Pain focused on measuring acute appendicitis, postoperative pain relief, local anesthetic, laparoscopic appendectomy
Eligibility Criteria
Inclusion Criteria:
- Patients older than 18 years of age with acute appendicitis in emergency department
Exclusion Criteria:
- Patients who have to undergo peroperative open appendectomy procedure.
- Patients with local anesthetic or non steroid antiinflammatory allergy
- Patients in pregnancy
- Patients with connective tissue disease
- Patients with malignancy detected in pathological examination of postoperative appendix and patients with any malignancy diagnosis
- Perforated patients peroperatively
- Patients who were evaluated as plastron appendicitis peroperatively
Sites / Locations
- Fatih Sultan Mehmet Research and Training Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Active Comparator
Active Comparator
No Intervention
transversus abdominis plane Block
TROCHAR SITES LOCAL ANESTHETIC INJECTION
INTRAPERİTONEAL LOCAL ANESTHETIC SPREADING METHOD
CONTROL GROUP
Transversus abdominis plane block (10 cc / 10 cc, 0.5% bupivacaine to the right and left transversus abdominis muscle regions) will be applied.
local anesthetic injection (6 cc to subxiphoid and infraumbilical trocar sites, 4 cc instead of 2 cc, 0.5% bupivacaine solution to be applied)
Intraperitoneal direct vision of the appendix excision area-periappendiciall area under the direct injection of local anesthetic spraying process (percutaneous method injected into the periappendicial area 1: 1 diluted with 20 cc SF, 20 cc 0.5% bupivacaine solution total 40 cc spraying will be applied.
group will be the control group and any of these methods will not be applied,