ClinicalTrials.gg
RecruitingNCT07777172Updated Oct 16, 2026

Recto-Intercostal Fascial Plane and External Oblique Intercostal Blocks for Pain in Laparoscopic Cholecystectomyin Laparoscopic Cholecystectomy

An interventional study of Group EOIPB (External Oblique Intercostal Plane Block) and Group EOIPB + RIFPB (Combined Blocks) in Postoperative Pain and Cholecystectomy, Laparoscopic, sponsored by Ankara Etlik City Hospital. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Ankara Etlik City Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 16, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Laparoscopic cholecystectomy is a common surgical procedure that can cause significant postoperative pain, particularly originating from trocar insertion sites. Regional anesthesia techniques are frequently used as part of multimodal analgesia to improve patient comfort.

This randomized controlled trial aims to evaluate the efficacy of adding a recto-intercostal fascial plane block (RIFPB) to an external oblique intercostal plane block (EOIPB). Patients scheduled for elective laparoscopic cholecystectomy will be randomly assigned to receive either an EOIPB alone or a combination of EOIPB and RIFPB. The primary objective is to determine if the combined block approach provides superior postoperative analgesia, evaluated by compared to the EOIPB alone.

02

Conditions studied

  • Postoperative Pain
  • Cholecystectomy, Laparoscopic

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Keywords

  • External Oblique Intercostal Plane Block
  • Recto-Intercostal Fascial Plane Block
  • Fascial Plane Block
  • Regional Anesthesia
  • Postoperative Analgesia
  • Multimodal Analgesia
03

In context

Pain, Postoperative

5,640 studies on the registry are indexed under Pain, Postoperative; 1,230 are open to participants now.

This study's planned enrollment of 90 is above the median of 75 across 4,821 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Ankara Etlik City Hospital is the lead sponsor of 176 studies on the registry; 77 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Aged between 18 and 75 years
  • (ASA) physical status I, II, or III
  • Patients scheduled for elective laparoscopic cholecystectomy

Exclusion criteria

Exclusion Criteria:

  • Known allergy to local anesthetics
  • Infection at the procedure/injection site
  • Severe coagulopathy or use of anticoagulants
  • Chronic opioid consumption or history of neuropathic pain
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
90 participants (estimated)

Study arms

  • Active comparator
    Group EOIPB (External Oblique Intercostal Plane Block)

    Patients in this group will undergo ultrasound-guided external oblique intercostal plane block (EOIPB) after general anesthesia and before surgical incision. The block will be performed bilaterally using 20 mL of % 0.20 bupivacaine on each side.

    Procedure: Group EOIPB (External Oblique Intercostal Plane Block)

  • Active comparator
    Group EOIPB + RIFPB (Combined Blocks)

    Patients in this group will receive both an ultrasound-guided external oblique intercostal plane block (EOIPB) and a recto-intercostal fascial plane block(RIFPB) after the induction of general anesthesia and prior to surgical incision. The procedures will be performed bilaterally. The EOIPB block will be administered using 20 mL of % 0.20 bupivacaine, and the RIFPB will be administered using 15 mL of % 0.20 bupivacaine on each side.

    Procedure: Group EOIPB + RIFPB (Combined Blocks)

Interventions

  • ProcedureGroup EOIPB (External Oblique Intercostal Plane Block)

    Patients will undergo bilateral EOIPB procedure using 20 ml of 0.20% bupivacaine on each side under ultrasound guidance.

  • ProcedureGroup EOIPB + RIFPB (Combined Blocks)

    Patients will undergo bilateral EOIPB and RIFPB procedures under ultrasound guidance using 20 ml of 0.20% bupivacaine for the EOIPB block and 15 ml of 0.20% bupivacaine for the RIFPB on each side.

06

What researchers measure

Primary outcomes

  1. Postoperative Pain Intensity

    Pain will be assessed using a visual analog scale from 0 mm (no pain) to 100 mm (worst pain) at rest. Pain assessment at rest will be made at 4 hours after surgery.

    Time frame: 4 hours after surgery

Secondary outcomes

  1. Postoperative Pain Intensity

    Pain will be assessed using a visual analog scale from 0 mm (no pain) to 100 mm (worst pain) at rest. Pain assessment at rest will be made at 1, 8, 12, and 24 hours after surgery.

    Time frame: Up to 24 hours

  2. Postoperative Pain Intensity

    ain will be assessed using a visual analog scale from 0 mm (no pain) to 100 mm (worst pain) while coughing. Pain assessment will be made at 1, 4, 8, 12, and 24 hours after surgery.

    Time frame: Up to 24 hours

  3. Total Postoperative Opioid Consumption

    The total amount of opioid consumed by the patient will be recorded.

    Time frame: Up to 24 hours

  4. Severity of Postoperative Nausea and Vomiting (PONV)

    The severity of postoperative nausea will be assessed using an 11-point numerical rating scale (NRS), ranging from 0 to 10, where 0 indicates no nausea and 10 indicates the worst possible nausea. Vomiting will be recorded as the number of vomiting episodes. Nausea severity will be assessed at 1, 4, 8, 12, and 24 hours after surgery. Higher NRS scores indicate greater nausea severity.

    Time frame: Up to 24 hours

07

Study locations

1 of 1 sites recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Mar 2027, 5 months after the start.

Of 2,089 non-industry interventional studies with no phase under Pain, Postoperative, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 23. This study's planned 5 months is below that.

Counting every sponsor, half of 2,102 studies reached it within 11 months; a quarter within 6 and three quarters within 23.

Start moved once since we started tracking on Sep 25, 2026: Aug 2026 → Sep 2026, on Oct 16, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Aug 17, 2026
First posted
Aug 20, 2026
StartActual
Sep 14, 2026was Aug 2026
Primary completionEst.
Mar 1, 2027
CompletionEst.
Mar 15, 2027
Last update
Oct 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 16, 2026
Sites
Ankara Etlik City Hospital is now Recruiting
Oct 16, 2026
Start date
Aug 25, 2026→Sep 14, 2026 (actual)
Oct 16, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Ankara Etlik City Hospital · Ankara, Turkey (Türkiye)Contact added i•••@gmail.com · •••0316Contact added m•••@gmail.com · •••6235
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    Not yet recruiting→Recruiting
    Ankara Etlik City Hospital is now Recruiting
    Start date Aug 25, 2026→Sep 14, 2026 (now actual)
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Ankara Etlik City Hospital · Ankara, Turkey (Türkiye)Contact added i•••@gmail.com · •••0316Contact added m•••@gmail.com · •••6235
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07777172
Responsible party
İbrahim Topcu (Principal Investigator, Ankara Etlik City Hospital) — Principal investigator
First posted
Aug 20, 2026
Start date
Sep 14, 2026
Primary completion
Mar 1, 2027 (estimated)
Completion
Mar 15, 2027 (estimated)
Last update
Oct 16, 2026

Study contacts

İbrahim MD Topcu
Contact
ibrahimtpc78@gmail.com
05437860316
Musa Ass. Prof Zengin
Contact
musazengin@gmail.com
05071302750

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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