Postoperative Analgesia in Major Gynecological Cancer Surgeries

Trial Title: Postoperative Analgesia in Major Gynecological Cancer Surgeries

NCT ID: NCT06424938

Condition: Analgesia
Analgesia, Epidural
ERAS

Conditions: Official terms:
Agnosia

Conditions: Keywords:
postoperative analgesia
periferic nerve block
neuraxial block

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: This study was designed as a prospective randomized study. Patients with ASA II-III between the ages of 30 and 70 who will undergo major gynecological cancer surgery will be included in the study. They will be randomized into 2 groups: the group in which epidural block is applied for postoperative analgesia (Group Epidural) and the group in which erector spinae plane block is applied (Group ESP).

Primary purpose: Prevention

Masking: Single (Participant)

Intervention:

Intervention type: Procedure
Intervention name: Patients who underwent epidural block
Description: The researchers administered an epidural block to prevent post-operative pain to the epidural block group undergoing midline incision surgery for major gynecologic cancer.
Arm group label: The group in which epidural block
Arm group label: The group in which erector spinae plane block

Intervention type: Procedure
Intervention name: Patients who underwent erector spina plane block
Description: Researchers applied a erector spina plane block to prevent postoperative pain to the erector spina plane block group undergoing midline incision surgery for major gynecological cancer.
Arm group label: The group in which epidural block
Arm group label: The group in which erector spinae plane block

Summary: The aim of this study is to compare the effectiveness of epidural block or erector spinae plane block applied for postoperative analgesia in gynecological cancer surgeries. The main question(s) it aims to answer are: [Is erector spinae plane block as effective as epidural block in postoperative analgesia?] The study was designed as a prospective randomized study. Researchers evaluated the effects of epidural block or erector spinae plane block applied for postoperative analgesia on pain scores, postoperative opioid use, and mobilization in patients undergoing gynecological cancer surgery.

Detailed description: Our study was designed as a prospective randomized study. The investigators evaluated the analgesia methods used in patients undergoing surgery for gynecologic cancer between May 2024 and December 2024. The investigators evaluated the effect of epidural block or erector spina plan block on postoperative analgesia, opioid use and mobilization. Group 1: Epidural block group Group 2: Group with erector spina plan block

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patients who will undergo open abdominal surgery - Patients with ASAII-III - Those between the ages of 30-70 - Patients who are fully oriented and able to cooperate Exclusion Criteria: - Patients with ASAIV-V - Presence of active infection in the area where the block will be applied - Patients younger than 30 years old - Patients with BMI > 40 - Patients who are allergic to bupivacaine - Chronic analgesic use

Gender: Female

Minimum age: 30 Years

Maximum age: 70 Years

Healthy volunteers: Accepts Healthy Volunteers

Start date: July 1, 2024

Completion date: January 31, 2025

Lead sponsor:
Agency: Duygu Akyol
Agency class: Other

Source: Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06424938