ClinicalTrials.gg
RecruitingNCT07781930TAP-ESPBUpdated Aug 24, 2026

Comparison of Transversus Abdominis Plane and Erector Spinae Plane Blocks for Pain Control After Renal Laparoscopy

An interventional study of TAP Block in Postoperative Pain, Acute, sponsored by Cairo University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2026, 3 months ago, but the record still lists the study as recruiting.
  • Registered 5 months after the study started (first participant enrolled Jan 2026, registered Jun 2026).
  • Started Jan 2026; still recruiting 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 132 studies in Pain, Postoperative by Cairo University — 32 open to participants now, 32 under way, 1 of them phase 3. Pain, Postoperative · Cairo University.

Planned enrollment
43rd of 128
60 · median 50
Started
2026
with 16 others
No phase
91 of 132
24 open now
Primary completion
2026-08
later than 16 of 31 live
Registered
128th of 132
by date

Among the 132 studies in Pain, Postoperative by Cairo University, this one is the 43rd largest by planned enrollment of the 128 interventional ones that give a count, is one of 17 that started in 2026, is one of 91 with no phase, reaches primary completion later than 16 of the 31 other live ones, and was the 128th registered.

Pain, Postoperative

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

Browse Pain, Postoperative studies →

Open to participants now

32 of the 132 studies in Pain, Postoperative by Cairo University are open now, in 1 country. Recruiting first, the newest first:

26 more — sign in →

By country, each count listing its studies:

All 32 open studies →

Where they have run

Who these studies take

Of the 679 Pain, Postoperative studies recruiting now, 241 (35%) set no upper age limit and 328 (48%) stop at 75 or younger; 74 take children under 18; 128 take healthy volunteers.

This study: 18 Years to 40 Years · all sexes · no healthy volunteers.

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02

Study summary

The goal of this study is to compare the analgesic efficacy of ultrasound-guided transversus abdominis plane (TAP) block versus erector spinae plane block (ESPB) in adult patients undergoing laparoscopic renal surgeries. Forty adults (18-60 years, ASA I-II) will be randomly assigned to receive either TAP or ESPB after induction of general anesthesia. Postoperative pain will be assessed using the Visual Analogue Scale (VAS) and total fentanyl consumption over 24 hours. Secondary outcomes include time to first analgesic request, hemodynamic parameters, patient satisfaction, and incidence of complications. The study will be conducted at Cairo University Hospitals following ethical approval, with all patients providing written informed consent.

Read the detailed description

This randomized controlled trial aims to compare the analgesic efficacy of ultrasound-guided transversus abdominis plane (TAP) block versus erector spinae plane block (ESPB) in adult patients undergoing laparoscopic renal surgeries. Forty adults (18-60 years, ASA I-II) will be randomly assigned to receive either TAP or ESPB after induction of general anesthesia.

Preoperative assessment will include medical and surgical history, clinical examination, and routine laboratory investigations.

Intraoperative management will follow standard monitoring with general anesthesia, and the block will be performed under ultrasound guidance using 0.25% bupivacaine, bilaterally. TAP block will be performed at the anterolateral abdominal wall, while ESPB will be performed at the T8-T9 level in lateral decubitus position. The anesthesiologist performing the block will not participate in postoperative data collection, and outcome assessors will be blinded.

Postoperative pain management includes IV paracetamol every 8 hours and rescue fentanyl boluses (25 μg IV) if VAS ≥4, with a maximum total dose of 0.2-0.4 mg in 24 hours. Pain will be measured using the Visual Analogue Scale (VAS) at PACU, 2, 4, 6, 12, 18, and 24 hours. Secondary outcomes include time to first analgesic request, hemodynamic parameters, patient satisfaction, and incidence of adverse events such as PONV, hypotension, bradycardia, urinary retention, LAST, pneumothorax, or failed block.

Primary outcome: total fentanyl consumption in the first 24 hours postoperatively.

Secondary outcomes: time to first rescue analgesia, VAS scores, hemodynamic stability, patient satisfaction, and complications. The study will be conducted at Cairo University Hospitals after ethical committee approval, with all patients providing written informed consent. Data will be analyzed using SPSS v26, with parametric and non-parametric tests, repeated-measures ANOVA for VAS over time, Kaplan-Meier analysis for time to rescue analgesia, and chi-square or Fisher's exact test for categorical outcomes.

03

Conditions studied

  • Postoperative Pain, Acute

Browse trials for

Keywords

  • TAP Block
  • ESP Block
04

Who can participate

Ages eligible
18 Years to 40 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

  • Age from 18 to 40 years old.
  • Both sexes.
  • American Society of Anesthesiology (ASA) physical status I, II.
  • Scheduled for laparoscopic renal surgeries under general anesthesia

Exclusion criteria

Exclusion criteria:

  • Parent's refusal.
  • Coagulation disorders.
  • History of allergy to local anesthetics.
  • Infection or redness at the injection site.
  • History of renal and/or hepatic insufficiency.
  • Preexisting cardiac dysfunction.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    TAP Block group

    TAP block will be done under ultrasound-guidance with linear multi-frequency 6-13 MHz transducer probe and 21 G (0.514mm) needle inserted in-plane from medial to lateral, advanced through the fascial layers until the tip reaches the fascial plane between the internal oblique and the transversus abdominis muscle. After negative aspiration, 20 ml of 0.25% bupivacaine will be injected. Correct spread will be confirmed by separation of the fascial plane under ultrasound guidance. TAP block will be applied bilaterally.

    Procedure: TAP Block

  • Experimental
    ESP Block group

    a high-frequency linear ultrasound probe will be placed in a longitudinal parasagittal orientation over the transverse process at the T8-T9 level. A 21G needle will be advanced in-plane to reach the fascial plane deep to the erector spinae muscle and superficial to the transverse process. After negative aspiration, 20 ml of 0.25% bupivacaine (Sunnypivacaine®, Sunny pharmaceuticals, Egypt) will be injected incrementally to ensure correct spread of local anesthetic in the ESP plane.

    Procedure: TAP Block

Interventions

  • ProcedureTAP Block

    a bilateral ultrasound guided TAP block performed by injecting 20 ml of 0.25% bupivacaine into the TAP space after negative aspiration. a bilateral ultrasound guided ESP block performed by injecting 20 ml of 0.25% bupivacaine into the ESP space after negative aspiration.

    Also known as: ESP Block

06

What researchers measure

Primary outcomes

  1. Total fentanyl consumption.

    Total fentanyl consumption in the first 24 hours (μg-microgram) postoperative.

    Time frame: 24 hours.

Secondary outcomes

  1. Time to first rescue analgesia.

    Time elapsed from the end of surgery until the patient requires the first dose of rescue analgesia.

    Time frame: 24 hours postoperatively.

  2. Postoperative Pain scores.

    pain assessment using Visual Analog Scale (VAS) score: pain level scored from 0 (no pain) to 10 (worst imaginable pain).

    Time frame: At Post Anesthesia Care Unit (PACU) and 2,4,6,12,18,24 hours Postoperatively.

  3. Hemodynamic Parameter Heart rate

    Heart rate

    Time frame: At PACU and 1,2,4,6,12,24 hours postoperatively.

  4. Hemodynamic Parameter

    mean arterial blood pressure

    Time frame: At PACU and 1,2,4,6,12,24 hours postoperatively.

  5. Hemodynamic Parameter oxygen saturation

    oxygen saturation

    Time frame: At PACU and 1,2,4,6,12,24 hours postoperatively.

  6. Patient Satisfaction.

    Degree of patients' satisfaction.

    Time frame: 24 hours postoperatively.

  7. Incidence of postoperative complications.

    Incidence of complications as hypotension, bradycardia, respiratory depression, pneumothorax and urine retention.

    Time frame: within 24 hours postoperatively.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar 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 Jan 2026 (actual). Primary completion is estimated for Aug 2026, 7 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 7 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.

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

Registered
Jun 30, 2026
First posted
Aug 24, 2026
StartActual
Jan 5, 2026
Primary completionEst.
Aug 2026
CompletionEst.
Aug 2026
Last update
Aug 24, 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.
No changes since tracking began. The registry record was last updated on Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07781930
Lead sponsor
Cairo University
Responsible party
Hala El Sabbagh,MD (lecturer of Anesthesiology, Cairo University) — Principal investigator
First posted
Aug 24, 2026
Start date
Jan 5, 2026
Primary completion
Aug 2026 (estimated)
Completion
Aug 2026 (estimated)
Last update
Aug 24, 2026

Study contacts

Hala ElSabbagh, M.D.
Contact
halaelsabbagh@gmail.com
01005207896
Hala ElSabbagh, M.D.
principal investigator · Cairo University

Oversight

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

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