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Comparison of Ultrasonography-Guided the Postoperative Analgesic Efficacy of Perichondrial Approach Modified Thoracoabdominal Nerve Block and Recto-Intercostal Fascial Plan Block in Patients Who Underwent Laparoscopic Cholecystectomy

Status: Recruiting

Location: See location...

Intervention Type: Procedure

Study Type: Interventional

Study Phase: Not Applicable

SUMMARY

Laparoscopic cholecystectomy (LC) can cause moderate-to-severe postoperative pain from visceral, referred shoulder, and incisional sources. Multimodal analgesia is recommended, but opioids carry significant side effects. Ultrasound-guided interfascial plane blocks offer a safe alternative. The Modified Thoracoabdominal Nerve Block through Perichondrial Approach (M-TAPA) blocks T5-T12 dermatomes, while the Recto-Intercostal Fascial Plane Block (RIFPB) provides sensory blockade across the upper anterolateral abdomen. This study compares the postoperative analgesic efficacy of bilateral M-TAPA versus bilateral RIFPB in patients undergoing LC.

Eligibility

Participation Requirements

Sex: All

Minimum Age: 18

Maximum Age: 65

Healthy Volunteers: f

View:

• Age 18-65 years

• ASA physical classification I-II

• BMI \< 35 kg/m²

• Scheduled for elective laparoscopic cholecystectomy due to cholelithiasis

• Able to use and understand the NRS pain scoring system

• Able to use and understand the QoR-15 scale

• Able to communicate in Turkish

• Provided written informed consent

Locations

Other Locations

Turkey

Hitit University

RECRUITING

Çorum

Contact Information

Primary

Hakan Akel, MD

drhakanakel@gmail.com

+905442094827

Backup

Alperen KISA, MD

alperenkisa@hotmail.com.tr

+905072322428

Time Frame

Start Date: 2025-03-16

Estimated Completion Date: 2026-05-30

Participants

Target number of participants: 70

Treatments

Active_comparator: M-TAPA Group

M-TAPA Group:~Patients receiving ultrasound-guided bilateral Modified Thoracoabdominal Nerve Block through Perichondrial Approach (M-TAPA) using 20 ml of 0.25% bupivacaine per side, applied at the 10th rib level beneath the costochondral perichondrium after surgery while under anesthesia.

Active_comparator: RIFPB Group

RIFPB Group:~Patients receiving ultrasound-guided bilateral Recto-Intercostal Fascial Plane Block (RIFPB) using 20 ml of 0.25% bupivacaine per side, injected into the interfascial plane between the rectus abdominis muscle and the 6th-7th costal cartilages just below the xiphoid process, applied after surgery while under anesthesia.

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