Combining SHP Block and TAP Block in Abdominal Hysterectomy for Pain Control
Official title: Analgesic Effect of Combination of Superior Hypogastric Plexus Block and Transversus Abdominis Plane Block in Abdominal Hysterectomies: A Randomized Controlled Trial
Run by Tanta University · NCT07606781 · Data updated 2026-11-12
This study tests whether adding a superior hypogastric plexus block to a transversus abdominis plane block can improve pain relief after abdominal hysterectomy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 44 (estimated) |
| Sponsor | Tanta University Academic / other |
| Locations | 1 site (Tanta, El-Gharbia) |
| Status | Recruiting |
| Started | May 23, 2026 |
| Main results expected | October 1, 2026 |
| Study ends | October 1, 2026 |
| Registry record updated | May 27, 2026 |
| Trial ID | NCT07606781 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18 years or older) with ASA I–II status undergoing abdominal hysterectomy under general anesthesia at Tanta University.
✕Probably not a fit
Patients with contraindications to regional blocks or poor response to nerve blocks may not experience additional 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 study evaluates a multimodal approach to postoperative pain management by combining a superior hypogastric plexus block with a TAP block in adults undergoing abdominal hysterectomy under general anesthesia. The aim is to see if the combined regional blocks reduce pain scores and opioid requirements after surgery. The blocks target nerves supplying the lower abdomen and pelvic viscera to enhance analgesia during the recovery period. Eligible participants are adults (18+) with ASA I–II status undergoing the procedure at Tanta University. Exclusion criteria include allergies to local anesthetics, BMI > 35, opioid dependency, cognitive impairment, bleeding disorders, infection at the injection site, or significant organ dysfunction.
Why it matters
Potential benefit: If successful, patients may experience better pain control and faster recovery after abdominal hysterectomy.
How similar studies have gone: Regional nerve blocks are established for postoperative pain, but combining SHP and TAP blocks for hysterectomy is a novel approach with limited prior data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years. * American Society of Anesthesiology (ASA) physical status I-II. * Undergoing abdominal hysterectomies under general anesthesia (GA). Exclusion Criteria: * History of allergies to local anesthetics. * Body mass index (BMI) \>35 kg/m2. * Opioid dependency. * Cognitive impairment. * Bleeding or coagulation disorders. * Psychiatric and neurological disorder. * Local infection at the site of injection. * Severe heart, lung, liver, and renal dysfunction.
Where it's running
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Tanta University
Tanta, El-Gharbia, Egypt Recruiting
Study contacts
- Study coordinator: Mohammed S Elsharkawy, MD
- Email: mselsharkawy@med.tanta.edu.eg
- Phone: 00201148207870
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Superior hypogastric plexus block to improve recovery after laparoscopic colorectal cancer surgery
This will test whether adding a superior hypogastric plexus block helps adults having laparoscopic colorectal cancer surgery recover faster and have less pain.
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Liposomal bupivacaine TAP block to reduce pain after laparoscopic gynecologic cancer surgery
This trial will test whether a long‑acting liposomal form of bupivacaine given as a transversus abdominis plane (TAP) block reduces postoperative pain for adults having laparoscopic gynecologic oncology surgery.
-
Liposomal bupivacaine via transversus abdominis plane block to reduce pain after laparoscopic surgery
This trial will test whether adding liposomal bupivacaine to an ultrasound-guided TAP block reduces postoperative pain and opioid use in adults having elective laparoscopic abdominal surgery.
-
Abdominal nerve block versus thoracic epidural for pain after major abdominal cancer surgery
This will test whether combined subcostal and lateral transversus abdominis plane (TAP) blocks provide pain relief comparable to thoracic epidural anesthesia for adults having major abdominal cancer surgery.
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.