Analgesic Efficacy of Ultrasound-guided External Oblique Intercostal Plane Block Versus Posterior Transversus Abdominis Plane Block in Patients Undergoing Open Nephrectomy

Launched by CAIRO UNIVERSITY · Mar 22, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at two different techniques for managing pain after surgery to remove a kidney, called open nephrectomy. Many patients experience significant pain after this procedure, which can lead to complications and longer hospital stays. The trial aims to compare two methods of numbing the area to see which one works better: the external oblique intercostal plane block (EOIPB) and the posterior transversus abdominis plane block (TAP block). These techniques use ultrasound to guide the injection, helping to reduce pain and improve recovery.

To participate in this study, you must be between 18 and 65 years old, diagnosed with renal cancer, and scheduled for the surgery. Certain health conditions, like serious liver or heart issues, or if you regularly use opioids, may prevent you from joining. If you decide to participate, you can expect to receive one of the pain management techniques during your surgery, and the researchers will observe how well it helps with your pain after the operation. This study could lead to better pain management options for patients undergoing kidney surgery in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients whom diagnosed as having renal carcinoma and scheduled for open nephrectomy under general anesthesia.
• • ASA class II- III.
• • Age ≥ 18 and ≤ 65 years.
• • Body mass index (BMI) less than 40kg/m2.
• Exclusion Criteria:
• • 1. Patient refusal. 2. Hepatic and renal insufficiency. 3. Unstable cardiovascular or pulmonary disease. 4. History of psychiatric and cognitive disorders. 5. Patients with known sensitivity or contraindications to the drug used. 6. Patients on regular opioid consumption.