Ultrasound Guided Versus Surgical Rectus Sheath Block Versus Local Anesthesia Infiltration for Postoperative Analgesia in Patients Undergoing Total Abdominal Hysterectomy

Last updated: February 20, 2025
Sponsor: Ain Shams University
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

Surgical rectus sheath block

Local anesthesia infiltration

Ultrasound-guided rectus sheath block

Clinical Study ID

NCT06837532
FMASU R23/2025
  • Ages 18-65
  • Female

Study Summary

The aim of this work is to compare the efficacy and safety of the effectiveness and safety of ultrasound-guided surgical rectus sheath block and local anesthetic infiltration for postoperative analgesia in patients undergoing total abdominal hysterectomy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age from 18 to 65 years old.

  • American Society of Anesthesiologists (ASA) physical status I - II.

  • Patients scheduled for elective total abdominal hysterectomy under generalanesthesia.

Exclusion

Exclusion Criteria:

  • Hepatic, renal or cardiac disease.

  • Any known allergy to local anesthetic.

  • Physical or mental conditions which may vaguely measure postoperative pain followingsurgery.

  • History of chronic use of analgesic as nonsteroidal anti-inflammatory drugs (NSAIDs)or central nervous system (CNS) depressants as antiepileptic, and bleedingdisorders.

Study Design

Total Participants: 90
Treatment Group(s): 3
Primary Treatment: Surgical rectus sheath block
Phase:
Study Start date:
February 20, 2025
Estimated Completion Date:
August 01, 2025

Study Description

Total abdominal hysterectomy (TAH) is a commonly performed major surgical procedure that results in substantial postoperative pain and discomfort.

Local anesthetic infiltration (LAI) at the end of surgery is one of the most common technique employed in laparotomies for postoperative analgesia.

Rectus sheath block (RSB) has been used as a part of multimodal analgesia, especially when neuraxial techniques are unsuitable.The RSB was used to achieve peri-operative relaxation of the anterior abdominal wall.

Connect with a study center

  • Ain Shams University

    Cairo, 11591
    Egypt

    Active - Recruiting

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