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CTRI Number  CTRI/2026/03/105183 [Registered on: 02/03/2026] Trial Registered Prospectively
Last Modified On: 27/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing analgesic effectiveness between posterior versus lateral transversus abdominis plane block techniques for patients undergoing lower abdominal surgeries 
Scientific Title of Study   A comparative study of analgesic effectiveness between posterior versus lateral transversus abdominis plane block techniques in patients undergoing lower abdominal surgeries 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nazia banu J 
Designation  Assistant professor  
Affiliation  BANGALORE MEDICAL COLLEGE AND RESEARCH INSTITUTE  
Address  Assistant professor department of anaesthesiology Bangalore medical College and research institute k r road kalasipalya bangalore
K R ROAD KALASIPALYA BANGALORE
Bangalore
KARNATAKA
560002
India 
Phone  8618814997  
Fax    
Email  naaz.banu2010@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nazia banu J 
Designation  Assistant professor  
Affiliation  BANGALORE MEDICAL COLLEGE AND RESEARCH INSTITUTE  
Address  Assistant professor department of anaesthesiology Bangalore medical College and research institute k r road kalasipalya bangalore
K R ROAD KALASIPALYA BANGALORE
Bangalore
KARNATAKA
560002
India 
Phone  8618814997  
Fax    
Email  naaz.banu2010@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Manoj gowda P  
Designation  Post graduate  
Affiliation  BANGALORE MEDICAL COLLEGE AND RESEARCH INSTITUTE 
Address  Department of anaesthesiology Bangalore medical College and research institute k r road kalasipalya bangalore
K R ROAD KALASIPALYA BANGALORE
Bangalore
KARNATAKA
560002
India 
Phone  8310243717  
Fax    
Email  gowdamanoj9932@gmail.com  
 
Source of Monetary or Material Support  
Bangalore medical College and research institute k r road kalasipalya bangalore karnataka India 560002 
 
Primary Sponsor  
Name  Dr Nazia banu J 
Address  Department of anaesthesiology Bangalore medical College and research institute k r road kalasipalya bangalore karnataka India 560002 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nazia banu J   BANGALORE MEDICAL COLLEGE AND RESEARCH INSTITUTE  Department of anaesthesiology k r road kalasipalya bangalore 560002
Bangalore
KARNATAKA 
8618814997

naaz.banu2010@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethical committee of bangalore medical college and research institute  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Lateral transversus abdominis plane block   After lower abdominal surgical procedure under spinal anaesthesia ultrasound guided lateral transversus abdominis plane block single administration using 20 ml of 0.25% bupivacaine on bilateral side procedure duration approximately 5-10 minutes on each side injected in the fascial plane between internal oblique and transversus abdominis muscle at the mid-axillary line in patients undergoing elective lower abdominal surgery. 
Intervention  Posterior transversus abdominis plane block   After lower abdominal surgical procedure under spinal anaesthesia ultrasound-guided posterior transversus abdominis plane block single administration using 20 ml of 0.25% bupivacaine on bilateral side procedure duration approximately 5-10 minutes on each side deposited in the fascial plane between internal oblique and transversus abdominis muscle at the posterior axillary line in patients undergoing elective lower abdominal surgery. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients who are willing to give informed consent.
2. Patients of age 18-60 years.
3. ASA grade 1 and 2.
4. Patients with BMI 18.5 to 25.
5. Patients undergoing lower abdominal surgeries.

 
 
ExclusionCriteria 
Details  1. Patient refusal.
2. Patients with history of coagulopathy.
3. Patients with history of allergic to local anaesthetic.
4. Patients with severe systemic diseases.
5. Patient requiring postoperative mechanical ventilation.
6. Localized infection over injection point.
7. Duration of surgery more than 2 hours.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1.The post operative duration of analgesia.
2. Postoperative pain score VAS for 24 hours.
3. Need for rescue analgesia in first 24 hours.
4. Heamodynamic parameters like Heart rate, Blood pressure and SPO2.
5. Side effects including nausea and vomiting.

 
1.The post operative duration of analgesia.
2. Postoperative pain score VAS assessed at 30 minutes, 1hrs, 2hrs, 4hrs, 8hrs, 12hrs and 24hrs.
3. Need for rescue analgesia in first 24 hours.
4. Heamodynamic parameters like Heart rate, Blood pressure and SPO2 assessed at 30 minutes, 1hrs, 2hrs,4hrs,8hrs,12hrs and 24hrs.
5. Side effects including nausea and vomiting.
 
 
Secondary Outcome  
Outcome  TimePoints 
Post operative requirement of rescue analgesia  Post operative requirement of rescue analgesia assessed at 30 minutes,1hrs,2hrs,4hrs,8hrs,12hrs & 24hrs 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   19/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study is designed to compare the duration of post operative analgesia in patients undergoing lower abdominal surgeries using posterior versus lateral transversus abdominis plane block techniques and minimize the use of post operative rescue analgesics and its associated side effects. 
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