USG-Guided TAPA vs RIFB Block for Postoperative Analgesia in Laparoscopic Cholecystectomy

ConditionsPostoperative Pain Acute Cholecystitis Cholelithiasis Postoperative Nausea and Vomiting

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18-65

SponsorHitit University

About this trial

Laparoscopic cholecystectomy (LC) can cause moderate-to-severe postoperative pain from visceral, referred shoulder, and incisional sources. Multimodal analgesia is recommended, but opioids carry significant side effects. Ultrasound-guided interfascial plane blocks offer a safe alternative. The Modified Thoracoabdominal Nerve Block through Perichondrial Approach (M-TAPA) blocks T5-T12 dermatomes, while the Recto-Intercostal Fascial Plane Block (RIFPB) provides sensory blockade across the upper anterolateral abdomen. This study compares the postoperative analgesic efficacy of bilateral M-TAPA versus bilateral RIFPB in patients undergoing LC.

Eligibility criteria

Qualifiers

Age 18-65 years

ASA physical classification I-II

BMI < 35 kg/m²

Scheduled for elective laparoscopic cholecystectomy due to cholelithiasis

Disqualifiers

Refusal to participate in the study

BMI > 35 kg/m²

ASA physical classification III-V

Age < 18 or > 65 years

Trial design

Treatments tested in this trial

M-TAPA Group
RIFPB Group

Treatment groups

70 Participants

are divided into 2 treatment groups

Sponsors and collaborators

Hitit University

Lead sponsor

Source ClinicalTrials.gov