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NCT Number: NCT06976320

Deep Rectus Sheath Block for Laparoscopic Cholecystectomy

Postoperative pain after laparoscopic cholecystectomy can be considerable. Regional techniques such as erector spinae plane (ESP) block or transversus abdominis plane (TAP) block may be suitable for patients at increased risk of postoperative pain. The deep rectus sheath block is a novel block which is a modified version of the conventional rectus sheath block. It was reported in a few case reports that, it may be used for postoperative analgesia in patients undergoing laparoscopic cholecystectomy. The aim of this study is to investigate the postoperative analgesic efficacy of deep rectus sheath block in patients undergoing laparoscopic cholecystectomy.

Recruiting

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istinye University Hospital

Istanbul, Turkey (Türkiye)

Location status: Recruiting

Location contact

Ali Sait Kavakli, M.D.

PRINCIPAL_INVESTIGATOR

Taylan Sahin, M.D.

CONTACT

[email protected]

+902129794000

Taylan Sahin, M.D.

PRINCIPAL_INVESTIGATOR

About this study

Patients scheduled for elective laparoscopic gastrectomy will be separated into 2 groups: Control Group and Deep Rectus Sheath Block Group. Patients in Control Group will be received patient controlled analgesia with morphine for postoperative analgesia. Patients in Deep Rectus Sheath Block Group will be performed Deep Rectus Sheath Block at the end of the surgery, along with patient controlled analgesia with morphine for postoperative analgesia. Morphine consumption for first postoperative 24 hours, numerical rating scale scores, amount of rescue analgesic drug, incidence of postoperative nausea and vomiting will be recorded.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age between 18 and 80 years
  • Patients with American Society of Anesthesiology (ASA) physical status I-II
  • Patients scheduled for a laparoscopic cholecystectomy

Exclusion criteria

  • Allergy to local anesthetics
  • Coagulopathy
  • Skin infection at the deep rectus sheath block area
  • Advanced hepatic or renal failure
  • Chronic pain syndromes
  • Alcohol or drug abuse
  • Severe pulmonary and/or cardiovascular disease
  • Psychiatric disorders

Treatment and study plan

Intravenous morphine patient control analgesia

Other

24-hour morphine consumption will be recorded

Intravenous patient control analgesia

Other

24-hour morphine consumption will be recorded

Deep rectus sheath block

Other

Deep rectus sheath block will be administered at the end of the surgery.

Primary outcomes

  1. Morphine consumption

    Time frame: Postoperative 24 hours

    The amount of morphine required by the patient and given by the device will be recorded for the first 24 hours.

Secondary outcomes

  1. Postoperative numerical rating scale scores

    Time frame: Postoperative 24 hours

    Postoperative pain will be assessed using a numerical rating scale (NRS) (from 0 = no pain to 10 = maximum possible pain) for the first 24 hours.

  2. Rescue analgesic drug requirement

    Time frame: Postoperative 24 hours

    The amount of rescue analgesic in mg required by the patient will be recorded for the first 24 hours.

  3. Incidence of postoperative nausea and vomiting

    Time frame: Postoperative 24 hours

    Number of patients developing postoperative nausea and vomiting will be recorded for the first 24 hours

Study contacts

Contact information is provided by the study sponsor or research team.

Taylan Sahin, M.D.

CONTACT

[email protected]

+902129794000

Sponsors and collaborators

Lead sponsor

Istinye University

Other

Registry information

Official study title

Deep Rectus Sheath Block for Postoperative Analgesia in Patients Undergoing Laparoscopic Cholecystectomy

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
May 16, 2025
Registry last updated
Sep 22, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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