Postoperative Analgesia in Major Gynecological Cancer Surgeries

Duygu Akyol71 enrolled

Overview

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.

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

Analgesia Analgesia, Epidural ERAS

Interventions

Patients who underwent epidural blockPROCEDURE

The researchers administered an epidural block to prevent post-operative pain to the epidural block group undergoing midline incision surgery for major gynecologic cancer.

Patients who underwent erector spina plane blockPROCEDURE

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.

Eligibility

Sex: FEMALEMin age: 30 YearsMax age: 70 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

postoperative numerical rating scale

The primary purpose of this study is to compare NRS values at 0, 6, 12 and 24 hours in the first 24 hours postoperatively. Numeric rating scale was used to assess postoperative pain For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable.

Time frame: postoperatvely 24 hours

Secondary Outcomes

Intraoperative amount of remifentanyl

The secondary aim of this study is to compare the amount of intraoperative remifentanyl

Time frame: intraoperative process