Comparison of Caudal Block and Retrolaminar Block Effects on Postoperative Pain and Analgesic Use in Pediatric Undescended Testis Surgery

What this Trial Is About

Researchers are evaluating the effectiveness of two regional anesthesia techniques, Caudal Block (CB) and Retrolaminar Block (RLB), for managing postoperative pain in children undergoing surgery for undescended testis. This study focuses on pediatric patients aged 1 to 7 years who are classified as ASA I-II and aims to compare pain scores, time to first analgesic use, and postoperative complications. The research is a double-blind, randomized controlled trial conducted at two hospitals. Participants will be randomly assigned to receive either the Caudal Block or the Retrolaminar Block after general anesthesia induction. The Caudal Block involves injecting 0.125% bupivacaine into the sacral canal, while the Retrolaminar Block uses 0.25% bupivacaine injected into the retrolaminar space at the L4 vertebral level, both performed under ultrasound guidance by an experienced operator. General anesthesia includes premedication with midazolam, induction with propofol and fentanyl, and maintenance with sevoflurane. During the 24-hour postoperative period, pain will be assessed at multiple timepoints using the FLACC pain scale by a blinded nurse. Patients with mild to moderate pain will receive intravenous paracetamol, while those with higher pain scores will be given intravenous tramadol. Researchers will monitor analgesic consumption, pain scores, and any complications. The study includes detailed follow-up assessments to provide valuable data on these two pain management techniques in pediatric surgery.

Caudal Block vs Retrolaminar Block on Analgesic Consumption in Undescended Testis Surgeries