Actively Recruiting
Led by Istanbul Medipol University Hospital · Updated on 2025-03-14
60
Participants Needed
1
Research Sites
N/A
Total Duration
This research aims to evaluate the effectiveness of the Transversalis Fascia Plane Block (TFPB) for managing postoperative pain in patients undergoing laparoscopic inguinal hernia repair. Laparoscopic inguinal hernia repair generally causes less acute pain than the open technique, but untreated early pain can extend hospital stays and slow recovery. Opioids are commonly used for pain but have side effects like nausea and delayed recovery, so alternative pain control methods like TFPB are being studied. The study compares two groups: one receiving the ultrasound-guided TFPB block plus local anesthetic infiltration at port sites and standard postoperative pain management, and the other receiving only local anesthetic infiltration and standard pain management without the block. TFPB involves injecting local anesthetic between the transversus abdominis muscle and transversalis fascia to block specific spinal nerves. All patients receive acetaminophen and tramadol before wound closure and postoperatively, with additional rescue analgesic given if needed. Participants will be monitored for pain levels and side effects at 1, 3, 6, 12, 18, and 24 hours after surgery. Researchers will record the need for rescue analgesics and compare pain scores during rest and movement. Side effects and complications will also be evaluated during this period. The study includes adults aged 18 to 65 undergoing elective unilateral inguinal hernia repair, with follow-up limited to the first 24 postoperative hours.
CONDITIONS
Transversalis Fascia Plane Block for Laparoscopic Inguinal Hernia Repair
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Surgery day and up to 24 hours postoperatively
Participants undergo laparoscopic inguinal hernia repair surgery with local anesthetic infiltration to port entrance sites. Those in the experimental group receive an additional Transversalis Fascia Plane Block after wound closure while still under general anesthesia. Standard postoperative pain management is provided to all participants.
1 surgical procedure and assessments at 1, 3, 6, 12, 18, and 24 hours postoperatively
Total: 1 location
1
Istanbul Medipol University Mega Hospital Complex
Istanbul, Bagcilar, Turkey (Türkiye), 34212
Actively Recruiting
A
AYSE INCE, Assist Prof
H
HANDE GUNGOR DANISAN, Assist Prof
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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