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The group in which epidural block is applied for postoperative analgesia (Group Epidural)

The group in which erector spinae plane block is applied (Group ESP)

The researchers administered an epidural block to prevent post-operative pain to the epidural block group undergoing midline incision surgery for major gynecologic cancer.

Patients who underwent epidural block

Researchers applied a erector spina plane block to prevent postoperative pain to the erector spina plane block group undergoing midline incision surgery for major gynecological cancer.

Patients who underwent erector spina plane block

Duygu Akyol, M.d

Ceren Ganidağlı, M.d

The aim of this study is to compare the effectiveness of epidural block or erector spinae plane block applied for postoperative analgesia in gynecological cancer surgeries.

The main question(s) it aims to answer are:

\[Is erector spinae plane block as effective as epidural block in postoperative analgesia?\] The study was designed as a prospective randomized study. Researchers evaluated the effects of epidural block or erector spinae plane block applied for postoperative analgesia on pain scores, postoperative opioid use, and mobilization in patients undergoing gynecological cancer surgery.

Our study was designed as a prospective randomized study. The investigators evaluated the analgesia methods used in patients undergoing surgery for gynecologic cancer between May 2024 and December 2024. The investigators evaluated the effect of epidural block or erector spina plan block on postoperative analgesia, opioid use and mobilization.

Group 1: Epidural block group Group 2: Group with erector spina plan block

This study was designed as a prospective randomized study. Patients with ASA II-III between the ages of 30 and 70 who will undergo major gynecological cancer surgery will be included in the study. They will be randomized into 2 groups: the group in which epidural block is applied for postoperative analgesia (Group Epidural) and the group in which erector spinae plane block is applied (Group ESP).

Postoperative Analgesia in Major Gynecological Cancer Surgeries

The Effect of Epidural Analgesia and Erector Spinae Plane Block on Intraoperative and Early Postoperative Outcomes in Open Gynecological Oncological Surgeries: a Prospective Randomized Study

The other purpose of this study is the first postoperative mobilization process

The primary purpose of this study is to compare NRS values at 0, 6, 12 and 24 hours in the first 24 hours postoperatively. Numeric rating scale was used to assess postoperative pain For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable.

The secondary aim of this study is to compare the amount of intraoperative remifentanyl

Duygu Akyol

Analgesics

Central Nervous System Depressants

All Drugs and Chemicals

Morphine

Analgesics, Opioid

Narcotics

Group 1: Intrathecal morphine administered group

Group 2: Four quadrant transversus abdominis plane block applied group

Intrathecal morphine administered group and Four quadrant transversus abdominis plane block applied group

Intrathecal morphine administered group, Four quadrant transversus abdominis plane block applied group

The aim of this study is to compare the effectiveness of intrathecal morphine and four-quadrant transversus abdominis plane block applied for postoperative analgesia in gynecological cancer surgeries.

The key question(s) it aims to answer are:

\[Is intrathecal morphine more effective in postoperative analgesia?\] Patients who underwent gynecological cancer surgery were examined retrospectively. The investigators evaluated the effect of intrathecal morphine and four-quadrant transversus abdominis plane block applied for postoperative analgesia on pain scores and postoperative opioid use.

Our study was designed retrospectively. The investigators evaluated analgesia methods in patients who underwent laparoscopic or open surgery due to gynecological cancer between June 2023 and December 2023. The investigators evaluated the effect of intrathecal morphine and four-quadrant transversus abdominis plane block on postoperative analgesia and opioid use.

Group 1: Intrathecal morphine administered group Group 2: Four quadrant transversus abdominis plane block applied group

The Effect of Analgesia Methods Applied in Gynecological Cancer Surgeries on Postoperative Analgesia

Four-quadrant Transversus Abdominis Plane Block Versus Intrathecal Morphine in Gynecological Cancer Surgeries: a Single-center Retrospective Study.

Our primary aim was to evaluate numerical rating scale at 24 hours postoperatively. numerical rating scale(NRS) was used to assess postoperative pain. NRS values were recorded For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable.

Our secondary aim was to evaluate opioid demand and consumption amounts in the postoperative 24 hours.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Postoperative Analgesia in Major Gynecological Cancer Surgeries	NCT06424938	Analgesia Analgesia, Epid... ERAS	Patients who un... Patients who un...	30 Years - 70 Years	Bakirkoy Dr. Sadi Konuk Research and Training Hospital
The Effect of Analgesia Methods Applied in Gynecological Cancer Surgeries on Postoperative Analgesia	NCT06382376	Gynecological C... Regional Anesth...	Intrathecal mor...	18 Years - 80 Years	Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Spots Global Cancer Trial Database for neuraxial block