Abdominal nerve block versus thoracic epidural for pain after major abdominal cancer surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults scheduled for major abdominal cancer operations at Assiut University will receive either combined subcostal and lateral TAP blocks or thoracic epidural anesthesia for postoperative pain control. Pain scores, opioid consumption, recovery markers such as return of bowel function and pulmonary outcomes, and adverse events will be recorded after surgery. The trial compares the safety and efficacy of the two regional anesthesia approaches within perioperative care and enhanced recovery pathways. Procedures will be performed by anesthesiologists experienced in regional techniques and patients will be followed during the immediate postoperative period.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age ≥ 18 years.
* Both sexes.
* American Society of Anesthesiologists (ASA) physical status I-III.
* Scheduled for major abdominal surgeries including: (e.g., gastrectomy, colectomy, hepatectomy, cystectomy, total abdominal hysterectomy, Nephrectomy, pancreatectomy).

Exclusion Criteria:

* Intraoperative hemodynamic instability.
* History or evidence of coagulopathy.
* Infection or abdominal wall masses at injection site.
* Morbid obesity.
* Other Medical conditions including mental illness or substance abuse.
* Known allergy to local anesthetics.
* Chronic opioid use or chronic pain conditions.
* Pregnancy.

Where it's running

• Assiut University
  Asyut, Egypt Recruiting

Study contacts

• Study coordinator: Bahaa G Saad, MD
• Email: bahaagamal@aun.edu.eg
• Phone: 00201555590977

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.