In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.
"Robotic-assisted laparoscopic prostatectomy (RALP) is a minimally invasive and superior technique that provides better visualization and maneuverability compared to open and laparoscopic surgical techniques. Previous studies have shown that RALP offers better postoperative oncological and physiological outcomes compared to open and laparoscopic techniques. However, RALP patients still experience pain lasting for several days postoperatively, which requires the use of analgesics such as opioids. This pain is associated with port site incisions, dissection of the prostate and surrounding tissues, bladder spasms, and transurethral catheter irritation. For this purpose, previous studies have utilized central and peripheral methods to reduce postoperative pain. Previous studies have demonstrated the analgesic benefits of TAP block and rectus sheath block in robotic-assisted radical prostatectomies. However, the number of studies in this area is limited. In this research, we aim to compare the postoperative analgesic efficacy of these two peripheral blocks in patients undergoing RALP who have received preoperative TAP block and RSB block.
Study Type
OBSERVATIONAL
Enrollment
100
Zeynep Koç
Yenimahalle, Ankara, Turkey (Türkiye)
post operatif analgesia consumption
postoperative iv-PCA tramadole dose for the first 24 hours from iv-PCA devices.
Time frame: postoperative 24 hous
numerical rating scale (NRS) at rest
Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient
Time frame: popstoperative 1. hour
numerical rating scale (NRS) at rest
Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient
Time frame: postoperative 6. hour
numerical rating scale (NRS) at rest
Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient
Time frame: postoperative 16. hour
numerical rating scale (NRS) at rest
Recording the patient's pain at rest on the Numerical Rating Scale (NRS) by asking the patient
Time frame: postoperative 24. hour
NRS during coughing
The NRS for pain during coughing will be recorded by asking the patient
Time frame: postoperative1. hour
NRS during coughing
The NRS for pain during coughing will be recorded by asking the patient
Time frame: postoperative 6. hour
NRS during coughing
The NRS for pain during coughing will be recorded by asking the patient
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Time frame: postoperative 16. hour
NRS during coughing
The NRS for pain during coughing will be recorded by asking the patient
Time frame: postoperative24. hour
postoperative nosia and vomiting (PONV)
Recording the presence or absence of nausea and vomiting in the patient within the first 24 hours postoperatively
Time frame: postoperative 24 hours