Overview
This study aims to evaluate the efficacy of ultrasound-guided Sacral Erector Spinae Plane (ESP) block for postoperative analgesia management in patients undergoing pilonidal sinus surgery under general anesthesia
Description
Severe pain after pilonidal sinus surgery is a significant problem that reduces patient comfort. In this randomized, prospective study, patients will be divided into two groups (Sacral ESPB group and control group) using a computer randomization method before the surgery. In the Sacral ESPB group, the block will be performed under ultrasound guidance using a 20 ml local anesthetic volume immediately after the surgical procedure and before extubation. The study will compare postoperative rescue analgesic requirement, opioid consumption, pain scores (NRS), and the incidence of side effects and complications
Eligibility
Inclusion Criteria:
- Patients scheduled for elective pilonidal sinus surgery.
- ASA physical status I and II
Exclusion Criteria:
- Allergy or sensitivity to local anesthetics or opioid drugs.
- Infection at the block site.
- Alcohol or drug addiction.
- Use of anticoagulant agents.
- Patient refusal.


