Effectiveness of Combined Fascial Plane Blocks for Postoperative Pain in Gynecologic Oncology Surgery
NCT07312825 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 94
Last updated 2025-12-31
Summary
The goal of this prospective observational study is to compare the effectiveness of different postoperative analgesic techniques in patients undergoing major abdominal surgery for gynecologic oncology.
The main question is whether the combination of TAP block with Quadratus Lumborum Block (QLB) or Rectus Sheath Block (RSB) provides superior pain relief compared to TAP block alone.
All blocks were performed as part of routine clinical anesthesia practice according to the attending anesthesiologist's judgment. No randomization, allocation, or study-directed intervention was performed.
Patients were classified into three groups based on the block type they received during standard care:
Group 1: TAP Block Only
Group 2: TAP + QLB Combination
Group 3: TAP + RSB Combination
Postoperative data, including pain scores (VAS), opioid consumption, sedation level, heart rate, blood pressure, nausea/vomiting, and length of hospital stay, were collected prospectively.
The study aims to determine which block combination provides the best postoperative pain control and recovery profile in patients undergoing gynecologic oncology surgery.
Conditions
- Gynecologic Cancers
- Postoperative Pain Management
Interventions
- OTHER
-
Group 3: TAP Block + Rectus Sheath Block (RSB)
Patients who received TAP block combined with Rectus Sheath Block (RSB) as part of routine anesthesia practice. The block technique was performed according to clinical judgment, not as part of a study intervention.
- OTHER
-
Group 2: TAP Block + Quadratus Lumborum Block (QLB)
Patients who received TAP block combined with Quadratus Lumborum Block (QLB) during routine anesthesia management. This block combination was chosen by the attending anesthesiologist as part of standard care, not assigned by the study.
- OTHER
-
Group 1:The Transversus Abdominis Plane (TAP) block
Patients who received only Transversus Abdominis Plane (TAP) block as part of routine clinical anesthesia practice. No study-assigned intervention or randomization was performed. Data were collected prospectively from standard anesthesia records.
Sponsors & Collaborators
-
Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-01
- Primary Completion
- 2025-01-01
- Completion
- 2025-03-20
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
The Effect of Analgesia Methods Applied in Gynecological Cancer Surgeries on Postoperative Analgesia
NCT06382376 ·Status: COMPLETED
-
Combined Subcostal and Lateral Transversus Abdominis Plane Block for Postoperative Analgesia Versus Thoracic Epidural Analgesia in Patients Undergoing Major Abdominal Cancer Surgery
NCT07273136 ·Status: RECRUITING ·Phase: NA
-
Anterior Abdominal Blocks for Postoperative Pain Control in Obese Patients
NCT03732027 ·Status: COMPLETED ·Phase: NA
-
Comparison of Analgesia Efficacy of Transversus Abdominis Plane Block and Posterior Approach Quadratus Lumborum Block
NCT06075498 ·Status: COMPLETED ·Phase: NA
-
Does the TAP Block Work Better Than the TFP Block for Relieving Pain
NCT06975735 ·Status: COMPLETED ·Phase: NA
-
Postoperative Analgesia in Major Gynecological Cancer Surgeries
NCT06424938 ·Status: COMPLETED ·Phase: NA
-
Comparison of Analgesic Effects of TAP Block and RSB in RALPs
NCT06681571 ·Status: NOT_YET_RECRUITING
-
Comparison of SE-TAP, M-TAPA, and Rectus Sheath Block in Abdominal Surgeries
NCT05259345 ·Status: UNKNOWN ·Phase: NA
-
Postoperative Pain Relief After Major Abdominal Gynecological Surgery
NCT05845385 ·Status: COMPLETED ·Phase: NA
-
Ultrasound Guided Quadratus Lumborum Block Versus Transversus Abdominis Plane Block as Postoperative Analgesia in Patients Undergoing Abdominal Cancer Surgery.
NCT05533424 ·Status: UNKNOWN ·Phase: PHASE3
-
Comparison of the Efficacy of Transversus Abdominis Plane Block and Erector Spinae Plane Block in Postoperative Analgesia Management After Abdominoplasty
NCT06845215 ·Status: RECRUITING
-
Comparison of Postoperative Analgesic Efficacy of TAP Block and TFP Block in Patients Undergoing Abdominal Hysterectomy
NCT06853782 ·Status: COMPLETED ·Phase: NA
-
Quadratus Lumborum Block vs Erector Spinae Plane Block in Laparoscopic Hysterectomy
NCT05465525 ·Status: COMPLETED ·Phase: NA
-
Quadratus Lumborum Block Versus Thoracic Paravertebral Block
NCT04827043 ·Status: UNKNOWN ·Phase: NA
-
M-TAPA vs. Combined M-TAPA + EXOP for Postoperative Pain in Laparoscopic Gynecologic Surgery
NCT07264855 ·Status: RECRUITING
-
Comparison Of Erector Spinae Plane Block With Transversus Abdominis Plane Block For Postoperative Pain Management In Patients Undergoing Total Abdominal Hysterectomy
NCT05521841 ·Status: UNKNOWN ·Phase: NA
-
A Comparing Transversalis Fascia Plane Block and Quadratus Lumborum Block for Post-Cesarean Pain Management: Efficacy, Execution Time, and Practicality
NCT06874569 ·Status: COMPLETED ·Phase: NA
-
Comparison of the Effects of TFPB and Anterior QLB on Postoperative Analgesia in Cesarean Section Surgery
NCT05408403 ·Status: COMPLETED ·Phase: NA
-
The Analgesic Efficacy of Ultrasound Guided Transversus Abdominal Plane Block After Abdominal Cancer Surgeries
NCT03165383 ·Status: COMPLETED ·Phase: NA
-
Prospective, Randomized Comparative Study Between an Anesthesiological, Ultrasound-guided, and a Laparoscopic, Landmark-based Application of a "Transversus Abdominis Plane (TAP) Block" Based on Postoperative Pain Perception, Postoperative Analgesic Requirement, and Procedure Duration
NCT06876155 ·Status: COMPLETED ·Phase: NA
-
Effects of Rhomboid Intercostal Block on Postoperative Pain Management and Chronic Pain Incidence in Mastectomies
NCT06756048 ·Status: COMPLETED ·Phase: NA
-
Comparison of QLB Block and TAP Block in Morbid Obese Patients
NCT05820620 ·Status: COMPLETED ·Phase: NA
-
Quadratus Lumborum Block vs Erector Spinae Plane Block in Abdominal Hysterectomy
NCT05675657 ·Status: COMPLETED ·Phase: NA
-
The Effect of Bilateral Rectus Sheath Block Versus Wound Infiltration in Gynecooncological Patients
NCT06095908 ·Status: COMPLETED
-
Quadratus Lumborum Block vs Transversus Abdominis Plane Block for Post-prostatectomy Analgesia
NCT03606889 ·Status: TERMINATED ·Phase: NA