Comparison of Regional Block, Caudal Block and Wound Infiltration in Inguinal Hernitomy (Painseverity)

King Edward Medical University

Status

Completed

Conditions

Postoperative Pain

Treatments

Procedure: Epidural

Procedure: Caudal block

Procedure: regional block

Study type

Interventional

Funder types

Other

Identifiers

NCT06386250

0005

Details and patient eligibility

About

Background: Although Inguinal herniotomy in children is taken as a day care procedure, post-operative pain management still remain controversial in these cases and superiority of wound infiltration, caudal block or regional block over each isn't known.

Objective: The objective of the study was compare regional block, caudal block and wound infiltration for post-operative pain management in children undergoing inguinal herniotomy

Full description

Three hundred patients rom the department of pediatric surgery, KEMU/Mayo Hospital, were randomized in three study groups by a computer generated table. Regional block group (Group A), wound infiltration group (Group B), caudal block group (Group C). . Patients were assessed for postoperative pain intensity using FLACC pain scale at 0, 1, 2, 4, 8, 24 hours after surgery in children less than 8 years of age. Wong-Baker Faces pain Scale at 0, 1, 2, 4, 8, 24 hours after surgery in children more than 8 years of age. Patients were discharged after 24 hours. If pain score ≥ 4 was given intravenously, Ketoralac. Urinary retention was observed after 24 hours, wound infection was observed after 7 days.

Enrollment

300 patients

Sex

All

Ages

3 to 12 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

Both Male and female inguinal hernia patients
Patients from 3-12 years age Exclusion Criteria
History of allergy to any drugs used in study documented on history .Infection at the site of regional, caudal or local infiltration, documented on clinical examination.

.Irreducible, obstructed or strangulated hernia, documented on clinical examination.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

300 participants in 3 patient groups

Group A

Active Comparator group

Description:

In group A, iliohypogastric and ilioinguinal nerves were blocked by using 0.25% bupivacaine 2ml/kg of combined with skin infiltration of adrenaline 1:200 000.

Treatment:

Procedure: regional block

Procedure: Caudal block

Procedure: Epidural

Group B

Active Comparator group

Description:

In group B 0.25% bupivacaine 0.5ml/Kg was infiltrated at the surgical site.

Treatment:

Procedure: regional block

Procedure: Caudal block

Procedure: Epidural