Comparison of Analgesic Efficacy of Fascia Transversalis Plan Block and Caudal Epidural Block in Pediatric Patients Undergoing Orchiopexy

Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization

Status: Not yet enrolling

Conditions: Orchiopexy

Study type: Observational

Funder types: Other

Identifiers

NCT07006844

E-48670771-514.99-273708811...

Details and patient eligibility

About

Orchiopexy is a surgery with a high frequency in the pediatric population. The use of regional anesthesia techniques has become widespread and its importance has increased in order to provide more effective and prolonged perioperative analgesia, as well as to prevent the side effects of opioids such as respiratory depression and to reduce systemic analgesic consumption. In this study, it was planned to compare the postoperative analgesic efficacy of routinely applied fascia transversalis plan block and caudal epidural block for analgesia after general anesthesia in pediatric patients undergoing orchiopexy (unilateral) according to the surgery and suitability of the patient and the competence of the anesthesiologist.

ASA I-II, patients who will undergo unilateral orchiopexy under general anesthesia, patients between the ages of 1-7 years, who have no contraindications for block application, and whose participation in the study is accepted by their legal guardian will be included in the study. After induction of general anesthesia and ensuring airway safety with a laryngeal mask, one of the regional anesthesia methods (fascia transversalis plan block or caudal epidural block) deemed appropriate for the patient is applied by the specialist of the room before the surgical incision. Postoperative analgesic needs of the patients and FLACC score will be evaluated at 30 minutes, 1, 2, 4, 6, 12 and 24 hours postoperatively.

Enrollment: 60 estimated patients

Sex: All

Ages: 1 to 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

ASA I-II, patients who will undergo unilateral orchiopexy under general anesthesia patients between the ages of 1-7 years, who have no contraindications for block application, and whose participation in the study is accepted by their legal guardian will be included in the study.

Exclusion criteria

Lack of consent by the patient's legal guardian, contraindications for block (bleeding diathesis, regional infection, neuromuscular disease), patients over 7 years of age

Trial design

60 participants in 2 patient groups

fascia transversalis plan block group

Description:

In fascia transversalis plan block, it is aimed to block the ilioinguinal and iliohypogastric nerves by injecting local anesthetic into the fascia transversalis plane under ultrasound guidance. It is a preferred method for analgesia of inguinal and lower abdominal surgeries

Caudal epidural block group

Description:

Caudal epidural block is a regional anesthesia technique performed by administering local anesthetic or analgesic drugs into the epidural space through the sacral hiatus. It is frequently used in urogenital, rectal, inguinal and lower extremity surgeries.