mTLIP vs. ITP Blocks in Lumbar Disc Surgery

Pain, Postoperative Clinical Trial

Official title:

Comparison of the Effects of Modified Thoracolumbar Interfacial Plan Block (mTLIP) and Intertransverse Process Block in Lumbar Disc Surgery

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT06391541
• Other study ID #: 2024/06-18
• Status: Active, not recruiting
• Phase: N/A
• Start date: April 1, 2024
• Est. completion date: June 30, 2025

Study information

• Verified date: April 2024
• Source: Zonguldak Bulent Ecevit University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

to compare ultrasonography (USG)-guided intertransverse process block and modified thoracolumbar interfascial plan (mTLIP) block in the treatment of postoperative pain in patients undergoing lumbar disc herniation surgery under general anesthesia.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 90
• Est. completion date: June 30, 2025
• Est. primary completion date: April 30, 2025
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

• 18-75 years old
• ASA I-II-III risk group
• Patients whose consent was obtained with an informed consent form
• Patients who will undergo lumbar disc herniation surgery

Exclusion Criteria:

• Patients who refused to participate in the study
• Allergic to local anesthetics
• Patients with coagulopathy
• Infection at the site of intervention
• Patients under 18 years of age
• Patients with ASA score IV and above
• Chronic pain disorders
• Those with neurological or neuromuscular disease
• Patients with psychiatric problems
• Patients with a history of opioid use
• Chronic use of NSAIDs
• Those contraindicated for regional anesthesia
• Patients with a history of opioid use
• Chronic analgesic use

Related Conditions & MeSH terms

• Intervertebral Disc Displacement
• Lumbar Disc Herniation
• Pain, Postoperative

Intervention

Procedure:
• modified thoracolumbar interfacial plan block (mTLIP)
Injecting local anesthetic at L3 vertebral level between the longisimus and iliocostalis muscles within the erector spinae muscles.
• Intertransverse process block (ITP)
injection of local anesthetic on the superior costotransverse ligament between the transverse process and the pleura.

Locations

Country	Name	City	State
Turkey	Zonguldak Bülent Ecevit University medicine faculty	Zonguldak	Kozlu

Sponsors (1)

Lead Sponsor	Collaborator
Zonguldak Bulent Ecevit University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	postoperative opioid consumption	total amount of opioids consumed in 24 hours postoperatively	up to 24 hours after surgery
Secondary	pain scores	Patients will be evaluated at regular intervals after surgery and their pain will be measured using a numerical rating scale.	up to 24 hours after surgery
Secondary	incidence of nausea and vomiting	nausea and vomiting of postoperative patients will be evaluated	up to 24 hours after surgery
Secondary	Quality of Recovery-15 scale	The quality of recovery of patients will be assessed with the quality of recovery 15 questionnaire.	24 hours after surgery