Comparing the Postoperative Analgesic Efficacy of Anterior Iliac Block and Ilioinguinal-iliohypogastric Block in Inguinal Hernia Surgery

Harran University

Status: Not yet enrolling

Conditions: Acute Pain

Treatments: Other: Patient group who underwent ilioinguinal/iliohypogastric block; Other: Patient group who underwent anterior iliac block

Study type: Interventional

Funder types: Other

Identifiers

NCT07290881

Anterior iliac block

Details and patient eligibility

About

The primary aim of this study is to compare two postoperative analgesia techniques used in patients undergoing inguinal hernia surgery-(1) the anterior iliac block and (2) the ilioinguinal/iliohypogastric block-in terms of postoperative analgesia duration and patient satisfaction.

Effective postoperative analgesia in inguinal hernia surgery is crucial for improving patient comfort and reducing opioid consumption. Although ilioinguinal and iliohypogastric nerve blocks are commonly used for this purpose, their relatively limited dermatomal coverage may result in inadequate analgesia in some cases. The recently described Anterior Iliac Block has been proposed as an alternative to conventional techniques, offering potentially wider neural spread and more effective postoperative pain control. However, the efficacy and safety of this novel block have not yet been sufficiently evaluated in the literature.

Full description

The primary aim of this study is to compare two postoperative analgesia techniques used in patients undergoing inguinal hernia surgery-(1) the anterior iliac block and (2) the ilioinguinal/iliohypogastric block-in terms of postoperative analgesia duration and patient satisfaction.

Effective postoperative analgesia in inguinal hernia surgery is crucial for improving patient comfort and reducing opioid consumption. Although ilioinguinal and iliohypogastric nerve blocks are commonly used for this purpose, their relatively limited dermatomal coverage may result in inadequate analgesia in some cases. The recently described anterior iliac block has been proposed as an alternative to conventional techniques, offering potentially wider neural spread and more effective postoperative pain control. However, the efficacy and safety of this novel block have not yet been sufficiently evaluated in the literature.

This study aims to compare the anterior iliac block with the ilioinguinal/iliohypogastric block in terms of postoperative pain control and patient satisfaction. The objective is to determine whether the anterior iliac block, through its broader dermatomal distribution, provides lower NRS pain scores, reduced analgesic requirements, and higher patient satisfaction compared with traditional nerve blocks.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• It includes patients aged 18-65 years
• Classified as ASA I-II
• Who are undergoing elective inguinal hernia surgery

Exclusion criteria

• Patients who did not wish to participate voluntarily
• Those with contraindications to the anterior iliac block or the Ilioinguinal/Iliohypogastric block,
• Pregnant or breastfeeding women
• Patients classified as ASA III-IV-V

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Patient group who underwent anterior iliac block

Active Comparator group

Description:

In this patient group, an anterior iliac block will be administered in the postoperative period, and postoperative pain at the surgical site will be assessed.

Treatment:

Other: Patient group who underwent anterior iliac block

Patient group who underwent ilioinguinal-iliohypogastric block

Active Comparator group

Description:

In this patient group, an ilioinguinal-iliohypogastric block will be administered in the postoperative period, and postoperative pain at the surgical site will be assessed.

Treatment:

Other: Patient group who underwent ilioinguinal/iliohypogastric block