Can a targeted nerve block cut opioid use after hysterectomy?
NCT ID NCT07740252
First seen Jul 31, 2026 · Last updated Jul 31, 2026
Summary
This study looks at whether a modified nerve block, called M-TAPA, can reduce pain and the need for painkillers after a laparoscopic hysterectomy. Researchers will compare patients who received this block with those who had standard anesthesia and pain management. The main focus is on how much tramadol, a strong painkiller, is used in the first 24 hours after surgery. The study also checks pain scores, recovery quality, and any side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Modified thoracoabdominal nerve block through a perichondrial approach (M-TAPA) using bupivacaine
- What this could lead to
- If effective, this nerve block could become a standard part of pain management for hysterectomy, reducing the need for opioids and improving recovery.
- What could go wrong
- This is a small retrospective study, so results may be influenced by bias or confounding. The block may not consistently reduce pain or opioid use, and there are risks like nerve damage or local anesthetic toxicity.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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60 people
The number who actually took part.
- Started
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Dec 2023
- Finished
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Dec 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Female patients aged 18-65 years with ASA physical status I-II who underwent elective total laparoscopic hysterectomy at Tekirdag Namik Kemal University Faculty of Medicine Hospital between December 25, 2023, and December 25, 2024.
- Ages
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18 to 65 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Female patients aged 18 to 65 years. * American Society of Anesthesiologists (ASA) physical status I or II. * Undergoing elective total laparoscopic hysterectomy under general anesthesia. * Availability of complete perioperative and postoperative medical records. Exclusion Criteria: * Neurological disorders affecting pain perception. * Coagulopathy or bleeding disorders. * Known allergy to local anesthetics. * Chronic opioid use before surgery. * Body mass index (BMI) greater than 35 kg/m². * Incomplete medical records.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Tekirdag Namik Kemal University Faculty of Medicine Hospital
Tekirdağ, Tekirdağ, 59030, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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- Can a nerve block stop pain months after hysterectomy?