Transversalis Fascia Plane Block Versus Intrathecal Morphine for Postoperative Analgesia in Total Abdominal Hysterectomy
Ultrasound-Guided Transversalis Fascia Plane Block Versus Intrathecal Morphine for Postoperative Analgesia in Patients Undergoing Total Abdominal Hysterectomy: A Randomized Clinical Trial
Tanta University
60 participants
Oct 1, 2025
INTERVENTIONAL
Conditions
Summary
This study aims to compare the ultrasound-guided transversalis fascia plane (TFP) block and intrathecal morphine for postoperative analgesia in patients undergoing total abdominal hysterectomy (TAH).
Eligibility
Inclusion Criteria3
- Age from 18 to 65 years.
- American Society of Anesthesiology (ASA) physical status I-II.
- Women undergoing total abdominal hysterectomy (TAH) under spinal anesthesia.
Exclusion Criteria7
- History of allergies to local anesthetics.
- Local infection at the site of injection.
- Bleeding disorders.
- History of chronic use of analgesic.
- Physical or mental conditions.
- Hepatic, renal or cardiac disease.
- Contraindication to spinal anesthesia.
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Interventions
Patients will receive spinal anesthesia (using 3.5 mL of hyperbaric bupivacaine 0.5%) with bilateral transversalis fascia plane (TFP) block (using 20 mL of bupivacaine 0.25%) at the end of surgery.
Patients will receive spinal anesthesia (using 3 mL of hyperbaric bupivacaine 0.5%) + (75 µg morphine diluted in 0.5ml saline) with sham block at the end of surgery.
Locations(1)
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NCT07201272