Transverse Abdominis Plane (TAP) Block Versus Transversalis Fascia Plane Block (TFPB) After Cesarean Delivery

NCT06939725 | Completed

• 1 other identifier: GOKAEK 2024/22/14
• Study Type: observational
• Target: 67
• Locations: 1 country
• Sites: 1

Brief Summary

Postoperative analgesia treatment methods are applied to the living in the operating room. It is a routine part of the process of these applications. It is necessary from medical and ethical perspectives. Postoperative analgesia applications are started in the preoperative period and continue in the postoperative period. The analgesic treatment to be used is shaped according to the application and experience of the anesthesiologist. The scientifically accepted developed method is multimodal analgesia protocols. These protocols cover a wide range from paracetamol to opioids, peripheral and central blocks (such as Transversalis Fascial Plane Block (TFPB) and Transversus Abdominis Plane (TAP) Block). The aim of this study is to continue the analgesia protocols applied in cesarean section surgeries on the first 24-hour pain scores, the amount of opioid consumed after surgery and the quality of obstetric recovery (ObsQoR-10) scale.

Conditions

Acute Pain Management; Caesarean Section

Keywords

ObsQoR-10; Transversalis fascia plane block; Caesarean Section; Transverse abdominis plane block; numeric rating scale

Outcome Measures

Primary Outcomes (1)

• Postoperative pain

  Pain levels of patients will be evaluated with the Numerical Pain Scale (NRS) in the first 24 hours postoperatively. The numeric rating scale (NRS) is a pain screening tool, commonly used to assess pain severity at that moment in time using a 0-10 scale, with zero meaning "no pain" and 10 meaning "the worst pain imaginable"

  postoperative 24 hours

Secondary Outcomes (1)

• ObsQoR-10

  Postoperative 24 hours

Study Arms (2)

Group 1

Transversus abdominis plane block was performed immediately after cesarean section.

Other: Transversus abdominis plane (TAP) block

Group 2

Transversalis fascial plane block was performed immediately after cesarean section

Other: Transversalis Fascia Plane Block

Interventions

Transversus abdominis plane (TAP) block OTHER

We apply different nerve blocks to patients for pain relief after cesarean surgery. Transversus abdominis plane block was applied to this group

Group 1

Transversalis Fascia Plane Block OTHER

We apply different nerve blocks to patients for pain relief after cesarean surgery. Transversalis Fascia Plane Block was applied to this group

Group 2

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Participants who underwent elective cesarean section and received regional anesthesia for postoperative analgesia

You may qualify if:

• \>18 years
• Term pregnancies (37-42 weeks) and those planned to undergo elective cesarean delivery under spinal anesthesia

You may not qualify if:

• \<18 years
• Emergency surgery
• BMI \> 35 kg/m2 or anatomic conditions that would preclude spinal anesthesia
• Increased susceptibility to bleeding or coagulation disorders (platelet count below 80,000× 10\^3/mm\^3 or INR \> 1.5)
• Known allergy to any drug, such as local anesthetics, opioids, or NSAIDs
• Other relevant maternal or neonatal clinical conditions requiring treatment and at the discretion of the investigators, such as gestational hypertension, impaired renal or hepatic function, postpartum hemorrhage
• Chronic pain conditions and concomitant use of analgesics

Sponsors & Collaborators

• Samsun University: lead

Study Sites (1)

Samsun University, Training and Research Hospital

Samsun, İ̇lkadim, 55000, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Dental Occlusion

Intervention Hierarchy (Ancestors)

Dentistry; Dental Physiological Phenomena; Digestive System and Oral Physiological Phenomena

Study Officials

• SEVDA AKDENIZ, Assoc Prof

  Samsun University

  PRINCIPAL INVESTIGATOR

• HATİCE SELÇUK KUŞDERCİ, Asst. Prof.

  Samsun University

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 15, 2025
• First Posted: April 23, 2025
• Study Start: January 1, 2025
• Primary Completion: March 31, 2025
• Study Completion: March 31, 2025
• Last Updated: April 30, 2025

Record last verified: 2025-04

Locations

TU (1)