[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100555715":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":31,"locations":37,"responsibleParty":54,"collaborators":26,"id":58,"slug":59,"hasResults":60,"nctId":61,"briefTitle":62,"officialTitle":63,"acronym":26,"eligibilityCriteria":64,"healthyVolunteers":60,"sex":65,"minAge":66,"maxAge":67,"enrollmentInfo":68,"targetDuration":26,"studyType":71,"phases":72,"briefSummary":74,"conditions":75,"keywords":80,"overallStatus":40,"whyStopped":26,"lastUpdateSubmitDate":83,"lastUpdatePostDateStruct":84,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":92},{"fullName":5,"class":6},"Istanbul Medipol University Hospital","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Group M = M-TAPA Block group","EXPERIMENTAL","M-TAPA block will be performed andd standard postoperaive pain management protocols will be applied.",[13,14],"Procedure: M-TAPA block","Procedure: Postoperative pain management",{"label":16,"type":17,"description":18,"interventionNames":19},"Group K = control group","ACTIVE_COMPARATOR","Standard postoperative pain management protocols will be applied. No plane block will be applied.",[14],[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"PROCEDURE","M-TAPA block","After the wound closure is completed and the patient is still under genaral anesthesia the M-TAPA block ill be performed. As the patient is in the supine position, the high-frequency linear US probe (11-12 MHz, Vivid Q) and a 22-G 80-mm needle (Stimuplex® Ultra 360®, Braun, USA) will be placed in a sagittal position at the costochondral junction at the level of the 9th and 10th ribs. After the rib and the external oblique, internal oblique, and transversus abdominis muscles are visualized on USG, using an in-plane technique, the block needle will be advanced and the block location will be confirmed by injecting 5 ml of saline between the internal oblique and transversus abdominis muscles. Once the block location is confirmed, 30 ml of 0.25% bupivacaine (Buvicaine ®) will be applied on each side. The total volume will be 60 ml.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Postoperative pain management","ibuprofen 400mg (Ibuprofen-PF®) intravenous (IV), and tramadol (Contramal®) 100 mg IV will be administered to all patients 20 minutes before wound closure. After surgery, Ibuprofen 400 mg will be given three times a day. A patient-controlled analgesia (PCA) system containing 10 mcg\u002Fml fentanyl will be provided to all patients without continuous infusion. Patients can administer boluses of 0.35 mcg\u002Fkg with a 15-minute lockout period and a maximum dose of 100 mcg per hour. Another anesthesiologist will assess patients after surgery. If the patient's pain score (NRS) is 4 or higher, IV tramadol (Contramal®) 100 mg will be given as a rescue analgesic.",[16,9],[32],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},"ayşe ince, assist pof","CONTACT","+90 5366774988","drayseince@gmail.com",[38],{"facility":39,"status":40,"city":41,"state":42,"zip":26,"country":43,"countryCode":26,"cosmosGeoPoint":44,"geoPoint":49,"contacts":50},"Istanbul Medipol University Mega Hospital Complex","RECRUITING","Istanbul","Bagcilar","Turkey (Türkiye)",{"type":45,"coordinates":46},"Point",[47,48],28.94966,41.01384,{"lat":48,"lon":47},[51],{"name":52,"role":34,"phone":53,"phoneExt":26,"email":36},"Ayse Ince, Assist Prof, MD","+905366774988",{"type":55,"investigatorFullName":56,"investigatorTitle":57,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"PRINCIPAL_INVESTIGATOR","Ayse Ince","Assist Prof","100555715","modified-thoracoabdominal-nerve-plane-block-in-laparoscopic-sleeve-gastrectomy-100555715",false,"NCT06515691","Modified Thoracoabdominal Nerve Plane Block In Laparoscopic Sleeve Gastrectomy","Evaluation of Effectiveness of Ultrasound-Guided Modified Thoracoabdominal Nerve Plane Block Through Perichondrial Approach (M-TAPA) for Postoperative Analgesia Management in Patients Undergoing Laparoscopic Sleeve Gastrectomy Operation","Inclusion Criteria: American Society of Anesthesiologists (ASA) classification II- III Patients Scheduled for LSG under general anesthesia\n\n\\-\n\nExclusion Criteria: Patients\n\n* with a history of bleeding diathesis,\n* receiving anticoagulant treatment,\n* with allergies or sensitivity to drugs used,\n* with an infection on the puncture site\n* with a history of alcohol or drug addiction,\n* with congestive heart failure\n* with liver or kidney disease\n* who do not accept the procedure or participate in the study","ALL","18 Years","65 Years",{"count":69,"type":70},60,"ESTIMATED","INTERVENTIONAL",[73],"NA","Ultrasound-guided Modified Thoracoabdominal Nerve Plane Block (M-TAPA) is performed into the costochondral aspect at the 9th-10th costal level by injecting local anesthetics deep into the chondrium. It provides blockage of both the anterior and lateral cutaneous branches of the thoracoabdominal nerve. Studies show that M-TAPA block is effective for postoperative analgesia and other abdominal surgeries, but its effect on patients undergoing LSG surgery has not yet been studied. The hypothesis is that the M-TAPA block performed in patients undergoing Laparoscopic Sleeve Gastrectomy (LSG) Operation would reduce opioid consumption in the first 24 hours period after surgery.",[76,77,78,79],"Obesity","Bariatric Surgery","Laparoscopic Sleeve Gastrectomy","Acute Post Operative Pain",[81,78,77,82],"ModifiedThoracoabdominal Nerve Plane Block","Acute Postoperative Pain","2025-12-18",{"date":85,"type":86},"2025-12-24","ACTUAL",{"date":88,"type":86},"2025-01-03",{"date":90,"type":70},"2026-02-15",{"name":5,"class":6},1]