Clinical trial Recruiting at 1 site Interventional Ages 18 to 75

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 typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment50 (estimated)
SponsorCairo University
Academic / other
Locations1 site (Cairo)
StatusRecruiting
StartedMay 21, 2026
Main results expectedDecember 1, 2026
Study endsDecember 1, 2026
Registry record updatedMay 22, 2026
Trial IDNCT07602452 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.