The Analgesic Efficacy of EXORA Block Versus Erector Spinae Plane Block in Patients Undergoing Laparoscopic Cholecystectomy Under General Anesthesia

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Laparoscopic cholecystectomy is still considered the gold standard for the surgical management of gallbladder disease due to its minimally invasive nature, shorter recovery time, and reduced postoperative complications. Despite these advantages, patients frequently experience moderate to severe postoperative pain, particularly in the early postoperative period, which can impede recovery, delay mobilization, and increase opioid consumption. Excessive opioid use after laparoscopic cholecystectomy is associated with several drawbacks, including nausea, vomiting, sedation, and delayed recovery. It also increases the risk of respiratory depression, especially in vulnerable patients, and may contribute to long-term opioid dependence. These risks highlight the importance of opioid-sparing strategies such as regional anesthesia techniques to improve patient outcomes and enhance recovery. Regional anesthesia techniques have emerged as essential components of multimodal analgesia strategies in abdominal surgeries. Among them, the Erector Spinae Plane (ESP) Block has gained popularity due to its relative ease of administration and favorable safety profile. Recently, a novel fascial plane block known as the EXORA block has been introduced as a promising alternative for abdominal wall analgesia. This block, which targets a different anatomical plane, is postulated to provide comparable or superior analgesic efficacy to traditional methods while maintaining safety and simplicity in execution. Given the ongoing pursuit of optimal analgesia with minimal side effects, it is essential to compare emerging techniques, such as the EXORA block, with established methods like the ESP block. The authors hypothesize that the EXORA block provides postoperative analgesia in the anterolateral abdomen as effective as the erector spinae plane (ESP) block in patients undergoing laparoscopic cholecystectomy.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 65
Healthy Volunteers: f
View:

• Elective laparoscopic cholecystectomy

• ASA physical status I-III

Locations
Other Locations
Egypt
Fayoum University hospital
RECRUITING
El Fayoum Qesm
Contact Information
Primary
Khaled M Sayed, Bch
khaledm191170@gmail.com
1065444158
Backup
Mohamed H Ragab, MD
mhr02@fayoum.edu.eg
1090050298
Time Frame
Start Date: 2025-10-01
Estimated Completion Date: 2026-02-28
Participants
Target number of participants: 105
Treatments
Experimental: EXORA block group
Group A (EXORA Block Group): Patients will receive bilateral EXORA blocks.
Active_comparator: ESP block group
Group B (ESP Block Group): Patients will receive bilateral ESP blocks.
No_intervention: control group
Group C (Control Group): patients will not receive any block, only standard care.
Sponsors
Leads: Fayoum University Hospital

This content was sourced from clinicaltrials.gov