Comparing Ultrasound-Guided Transversalis Fascia Plane and Transversus Abdominis Plane Blocks for Pain Relief in Children Undergoing Laparoscopic Surgery

What this Trial Is About

Researchers are comparing two types of ultrasound-guided nerve blocks, the transversalis fascia plane block TFPB and the transversus abdominis plane TAP block, to see which provides better pain relief after laparoscopic surgery in children. This study focuses on pediatric patients aged 6 months to 16 years and aims to improve postoperative pain management using regional anesthesia techniques guided by advances in ultrasound technology. The study involves two groups one receiving the TFPB, where local anesthetic is injected between the transversus abdominis muscle and the transversalis fascia targeting nerves at T12 and L1, and the other receiving the TAP block, where anesthetic is injected between the internal oblique and transversus abdominis muscles targeting the T10 to L1 dermatomes. Both blocks are given before surgery under ultrasound guidance to provide pain relief after the operation. Participants will have their pain assessed at 1, 2, 4, 8, 12, and 24 hours after surgery using the Visual Analog Scale. Researchers will also monitor the duration of pain relief, the need for additional rescue analgesics, any block-related complications, and both patient and parental satisfaction within 24 hours after surgery. This comprehensive monitoring aims to determine which block offers more effective and longer-lasting postoperative analgesia for children undergoing laparoscopic procedures.

Transversalis Fascia Plane Versus Transversus Abdominis Plane Block for Postoperative Analgesia in Children