Study of Visually Guided Transversus Abdominis Plane TAP Block to Reduce Pain and Speed Recovery After Laparoscopic Inguinal Hernia Repair TAPP

What this Trial Is About

Researchers are evaluating how well the Transversus Abdominis Plane TAP block performed under direct laparoscopic vision reduces pain and improves recovery after laparoscopic inguinal hernia repair using the TAPP Transabdominal Preperitoneal technique. This prospective, randomized clinical study will include 100 adults undergoing elective laparoscopic TAPP hernia repair, aiming to find a simple and safe pain control method during minimally invasive surgery. Participants will be randomly assigned to two groups. The study group will receive a bilateral TAP block under direct laparoscopic vision with 20 ml of 0.25% bupivacaine injected on each side after creating pneumoperitoneum. The control group will have the same laparoscopic TAPP repair without the TAP block. All patients will get standard general anesthesia and postoperative pain management, including scheduled analgesics and rescue medications if needed. During the study, pain intensity will be measured using the Visual Analogue Scale VAS at 0, 6, and 12 hours after surgery at various surgical sites. Researchers will also track time to first mobilization, total analgesic use, and any postoperative complications such as hematoma or transient muscle weakness. The main outcome is pain intensity at 6 hours post-surgery, with other recovery and safety measures recorded. The study will last until March 2027.

Visually Guided TAP Block in Laparoscopic TAPP Hernia Repair