RecruitingNot ApplicableNCT07388953

Peripheral Autonomic Block (BAP) Plus Transversus Abdominis Plane Block (TAP) for Postoperative Analgesia After Minimally Invasive Left-Sided Colorectal Resection (BAPTAP)

Peripheral Autonomic Block (BAP) Plus Transversus Abdominis Plane Block (TAP) for Postoperative Analgesia After Minimally Invasive Left-Sided Colorectal Resection (BAPTAP): A Randomized, Controlled, Double-Blind Trial


Sponsor

Faculdade de Ciências Médicas de Minas Gerais

Enrollment

140 participants

Start Date

Feb 12, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

Effective postoperative pain management is essential for enhanced recovery after laparoscopic colorectal surgery. This randomized, controlled, double-blind trial will compare conventional postoperative analgesia (intravenous medications plus surgical wound infiltration) with a locoregional strategy combining a peripheral autonomic block (inferior mesenteric and superior hypogastric plexuses) and a transversus abdominis plane (TAP) block. We hypothesize that the combined strategy (BAPTAP) reduces pain intensity and opioid consumption in the first 48 hours after Left-Sided Colorectal Resection.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a combination of two nerve block techniques — a peripheral autonomic block (BAP) and a transversus abdominis plane (TAP) block — as a way to reduce pain after minimally invasive (laparoscopic) surgery on the left side of the colon or rectum. These nerve blocks are injections of local anesthetic that temporarily numb specific areas to reduce post-surgical pain and the need for opioids. **You may be eligible if...** - You are scheduled for a planned (non-emergency) laparoscopic left-sided colorectal resection surgery - You are in generally good health (ASA physical status I or II) - You can understand the study and sign informed consent **You may NOT be eligible if...** - You have a known allergy to local anesthetic medications - You have a blood clotting disorder - You are pregnant - You are unable to understand or consent to the study - You are on long-term opioid therapy for chronic pain - Your BMI is greater than 35 kg/m² Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREMinimally Invasive Left-Sided Colorectal Resection

Elective laparoscopic anterior/rectosigmoid resection or sigmoid colectomy per institutional standards; not randomized.

PROCEDUREBAPTAP (Peripheral Autonomic Blockade + TAP Block)

General anesthesia combined with peripheral autonomic plexus blockade (superior hypogastric and inferior mesenteric plexuses) using 0.2% ropivacaine, 8 mL per site; performed laparoscopically prior to dissection, in association with bilateral ultrasound-guided TAP block with 0.33% ropivacaine, 30 mL per side.

PROCEDURETrocar/Incision Infiltration

General anesthesia with trocar/incision infiltration using 0.33% ropivacaine, up to a total volume of 60 mL.


Locations(1)

Santa Casa de Misericórdia de Belo Horizonte

Belo Horizonte, Minas Gerais, Brazil

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NCT07388953


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