Bilateral ESPB versus OSTAPB for postoperative pain after colorectal surgery
Official title: Ultrasound-Guided Bilateral Erector Spinae Plane Block Versus Bilateral Oblique Subcostal Transversus Abdominis Plane Block for Postoperative Analgesia in Colorectal Surgery: A Prospective Randomized Study.
Run by Cairo University · NCT07602452 · Data updated 2026-11-12
This study tests whether, after open colorectal surgery, an ultrasound-guided bilateral erector spinae plane block works better or the bilateral OSTAP block works better for controlling pain.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Cairo University Academic / other |
| Locations | 1 site (Cairo) |
| Status | Recruiting |
| Started | May 21, 2026 |
| Main results expected | December 1, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | May 22, 2026 |
| Trial ID | NCT07602452 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18-75 undergoing open colorectal surgery, ASA II-III, without contraindicating conditions such as coagulopathy or allergy to study drugs.
✕Probably not a fit
Patients with contraindications to regional blocks or those not responding to one of the techniques may see no benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional trial compares two ultrasound-guided regional anesthesia techniques in adults undergoing open colorectal surgery. It evaluates postoperative analgesia provided by bilateral erector spinae plane blocks versus bilateral oblique subcostal transversus abdominis plane blocks. Eligible participants are 18 to 75 years old, ASA II-III, and not at high risk for infection, coagulopathy, or opioid-related complications. The study is led by Cairo University, with sites at Cairo University, and does not list additional collaborators. Outcomes focus on pain control and analgesic requirements after surgery.
Why it matters
Potential benefit: If successful, patients may experience better postoperative pain relief with potentially fewer opioid needs.
How similar studies have gone: Previous regional anesthesia studies show potential benefits for similar blocks, but direct head-to-head data between ESPB and OSTAPB for colorectal surgery are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 to 75 years old. * Both sexes. * American Society of Anesthesiologists (ASA) physical status II-III. * Scheduled for open colorectal surgery under general anesthesia. Exclusion Criteria: * History of opioid abuse. * Chronic opioid consumption. * Body mass index (BMI) ≥ 35 kg/m2. * Severe cardiac insufficiency, defined as New York Heart Association (NYHA) class III or IV heart failure. * Renal failure, defined as an estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73 m². * Hepatic encephalopathy. * Having a skin infection at or near the puncture site. * Coagulopathy, defined as platelet count \< 100,000/mm³, INR \> 1.5, or use of anticoagulant therapy that could not be withheld. * Allergy to drugs used in the study. * History of previous or recurrent laparoscopic cholecystectomy procedures.
Where it's running
-
Cairo University
Cairo, Egypt Recruiting
Study contacts
- Study coordinator: Mohammed M Alarousy, MSc
- Email: mohammedalarousy0@gmail.com
- Phone: 00201149404478
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.