M-TAPA vs. Combined M-TAPA + EXOP for Postoperative Pain in Laparoscopic Gynecologic Surgery
Trial Parameters
Brief Summary
Laparoscopic gynecologic surgery is less invasive than open surgery, but many patients still experience pain after the procedure. M-TAPA and EXOP are ultrasound-guided regional anesthesia techniques used to reduce abdominal pain. Previous research suggests that M-TAPA provides effective pain relief on the anterior abdominal wall, while EXOP may help reduce pain in the lateral abdominal region. This study aims to determine whether combining M-TAPA with EXOP provides better postoperative pain control than using M-TAPA alone. The study will compare pain scores during the first 24 hours after surgery, the need for rescue analgesic medication, and recovery quality using the QoR-15 questionnaire. All procedures are part of routine clinical care, and no experimental drugs or devices are used.
Eligibility Criteria
Inclusion Criteria: * Patients scheduled for laparoscopic gynecologic surgery * Age 18-90 years * ASA physical status I-III Exclusion Criteria: * Contraindications to block procedures (coagulopathy, anticoagulant therapy, local infection at needle insertion site, etc.) * Severe cardiac, renal, hepatic, hematologic, neurologic, or psychiatric disease * Allergy to amide-type local anesthetics * Chronic pain, narcotic or alcohol dependence * BMI ≥ 35 kg/m² * Pregnancy * Refusal to participate * Conversion from laparoscopy to laparotomy