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Combined Subcostal and Lateral Transversus Abdominis Plane Block for Postoperative Analges

This study aims to evaluate the safety and efficacy of combined subcostal and lateral transversus abdominis plane (TAP) for postoperative analgesia versus thoracic epidural anesthesia (TEA) in patients undergoing major abdominal cancer surgery.

Condition(s)Subcostal, Lateral, Transversus Abdominis Plane Block, Postoperative Analgesia, Thoracic Epidural Analgesia, Major Abdominal Cancer Surgery
StatusRecruiting
PhaseNA
Study typeInterventional
SummaryThis study aims to evaluate the safety and efficacy of combined subcostal and lateral transversus abdominis plane (TAP) for postoperative analgesia versus thoracic epidural anesthesia (TEA) in patients undergoing major abdominal cancer surgery.
Who can participateInclusion Criteria: * Age ≥ 18 years. * Both sexes. * American Society of Anesthesiologists (ASA) physical status I-III. * Scheduled for major abdominal surgeries including: (e.g., gastrectomy, colectomy, hepatectomy, cystectomy, total abdominal hysterectomy, Nephrectomy, pancreatectomy). Exclusion Criteria: * Intraoperative hemodynamic instability. * History or evidence of coagulopathy. * Infection or abdominal wall masses at injection site. * Morbid obesity. * Other Medical conditions including mental illness or substance abuse. * Known allergy to local anesthetics. * Chronic opioid use or chronic pain conditions. * Pregnancy.
Ages18 Years
SexAll
Lead sponsorAssiut University
LocationsAsyut, Egypt
Start date2025-12-10
NCT IDNCT07273136
Official listinghttps://clinicaltrials.gov/study/NCT07273136

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