Comparison Between the Analgesic Effect of Fascia Transversalis Block vs Caudal Block

Cairo University (CU)

Status and phase: Not yet enrolling; Phase 3

Conditions: Post Operative Pain, Acute

Treatments: Procedure: Fascia Transversalis Block; Procedure: Caudal Block Anesthesia

Study type: Interventional

Funder types: Other

Identifiers

NCT07235475

MS-393-2025

Details and patient eligibility

About

Despite the growing interest in interfascial blocks and their successful use in pediatric surgeries, no previous randomized clinical trials have directly compared the analgesic efficacy, opioid-sparing effect, and safety profile of the fascia transversalis block versus the caudal block in pediatric patients undergoing unilateral inguinal hernia repair. This study aims to address this gap by providing the first head-to-head randomized comparison between both blocks in a standardized surgical setting

Enrollment: 50 estimated patients

Sex: All

Ages: 1 to 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA physical status I or II, scheduled for elective unilateral inguinal hernia surgery under general anesthesia

Exclusion criteria

• Parental refusal.
• Pre-existing infection at block site.
• Coagulopathy (defined as INR >1.5, Platelets <100,000).
• Known allergy to local anesthetics.
• History of complications from regional anesthesia.
• Emergency or bilateral hernia repair.
• Neurodevelopmental disorders (e.g., cerebral palsy, spina bifida).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Fascia Transversalis Block

Active Comparator group

Description:

Patients will receive Fascia Transversalis Block

Treatment:

Procedure: Fascia Transversalis Block

caudal block

Active Comparator group

Description:

Patients will receive caudal block

Treatment:

Procedure: Caudal Block Anesthesia