Actively Recruiting
Led by Sanliurfa Education and Research Hospital · Updated on 2026-04-09
60
Participants Needed
2
Research Sites
4 weeks
Total Duration
This research aims to assess the effect of the erector spinae plane block (ESPB), performed after surgery, on recovery quality, pain after surgery, and the time it takes for patients to resume daily activities following open inguinal hernia repair under spinal anesthesia. Postoperative pain from inguinal hernia surgery may slow recovery and impact normal life, and while ESPB has been used for pain relief in various surgeries, its benefit in this specific procedure is not well established. In this randomized controlled trial, patients are divided into two groups: one receives an ultrasound-guided ESPB at the T11-T12 level after surgery using 30 mL of 0.25% bupivacaine, while the control group receives no regional block. All participants receive standard postoperative pain medication with intravenous dexketoprofen, and rescue analgesia with intravenous tramadol is given if pain scores reach 4 or higher. The study includes monitoring spinal anesthesia and block characteristics during surgery. Participants will be monitored for recovery quality using the Quality of Recovery-15 questionnaire before surgery and 24 hours after. Pain intensity is measured at multiple intervals up to 24 hours post-surgery using a Numeric Rating Scale. Opioid use is tracked during the first 24 hours, and return to daily activities is assessed by phone 30 days after surgery. Safety monitoring and clinical data collection occur during hospital stay following institutional protocols.
CONDITIONS
Effect of Preoperative Erector Spinae Plane Block on Recovery Quality, Time to Return to Daily Activities, and Postoperative Pain Scores in Inguinal Hernia Surgery
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
screening and enrollment visit
Duration - Day of surgery
Participants undergo open inguinal hernia repair under spinal anesthesia. Those in the experimental group receive an ultrasound-guided erector spinae plane block at the end of surgery. Postoperative monitoring occurs in the recovery unit and surgical ward.
1 visit (in-person surgery and immediate monitoring)
Duration - 24 hours after surgery
Participants are assessed for recovery quality, pain scores, and spinal anesthesia effects during the first 24 hours after surgery.
Multiple assessments during the first 24 hours after surgery
Duration - 30 days after surgery
Participants are contacted by telephone to evaluate functional recovery and time to return to daily activities.
1 telephone contact
Total: 2 locations
1
Sanliurfa Education and Research Hospital
Sanliurfa, Eyyübiye, Turkey (Türkiye), 63040
Actively Recruiting
2
Muğla Training and Research Hospital
Menteşe, Muğla, Turkey (Türkiye), 48000
Actively Recruiting
T
Tolga Karaçay, M.D.
B
Başak Altıparmak, Prof.
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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