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COMPLETED
NCT07705516
NA

Interfascial Abdominal Wall Block for Gynecological Laparoskopy: A Randomized Clinical Trial

Sponsor: Medical and Diagnostic Center "MEDION" LLC

View on ClinicalTrials.gov

Summary

The purpose of this study is to evaluate the clinical efficacy of combining ultrasound-guided bilateral rectus sheath blocks (RSB) and quadratus lumborum blocks (QLB) compared to using a quadratus lumborum block alone for postoperative analgesia in patients undergoing laparoscopic gynecological surgeries. The primary objective is to assess movement-evoked pain scores in the early postoperative period. Secondary objectives include the evaluation of postoperative opioid consumption, intraoperative hemodynamic stability, and the overall incidence of side effects. Investigators hypothesize that the combined interfacial abdominal wall block technique will provide superior pain relief and reduce opioid requirements during recovery.

Official title: Combined Rectus Sheath and Quadratus Lumborum Blocks Versus Quadratus Lumborum Block Alone for Movement-evoked Pain After Laparoscopic Gynecologic Surgery: a Prospective Randomized Open-label Trial

Key Details

Gender

FEMALE

Age Range

25 Years - 65 Years

Study Type

INTERVENTIONAL

Enrollment

50

Start Date

2025-01-07

Completion Date

2025-12-28

Last Updated

2026-07-15

Healthy Volunteers

No

Interventions

PROCEDURE

Bilateral QLB and RSB

Preoperative regional anesthesia. Bilateral QL block combined with bilateral RS block. Ultrasound-guided technique. Using local anesthetics.

PROCEDURE

Bilateral QLB alone

Preoperative regional anesthesia. Isolated bilateral QL block. No rectus sheath block. Ultrasound-guided technique. Using local anesthetics.

Locations (1)

Medical and Diagnostic Center "MEDION" LLC

Poltava, Poltava Oblast, Ukraine