The Comparison of the Transversalis Fascia Plane Block With Ilioinguinal/Iliohypogastric Nerve Block

K

Kazuhiko Okuyama, MD

Status

Completed

Conditions

Postoperative Pain
Inguinal Hernia Unilateral
Children, Only

Treatments

Drug: Transversalis Fascia Plane Block
Drug: Ilioinguinal/iliohypogastric Nerve Block

Study type

Interventional

Funder types

Other

Identifiers

NCT03520907
TFPBvsIIB

Details and patient eligibility

About

This study compares the transversalis fascia plane block with the ilioinguinal/iliohypogastric nerve block in children undergoing hernia repair surgery. Half of participants will receive the transversalis fascia plane block, while the other will receive the ilioinguinal/iliohypogastric nerve block.

Full description

The ilioinguinal/iliohypogastric nerve block (II/IH B)is a widely used regional anesthesia technique in inguinal hernia repair surgery. However, this block provides limited analgesia during and after surgery, and the patients feel pain when walking. The transversalis fascia plane block (TFPB) is a recently developed technique and several case reports presented its efficacy for inguinal repair surgery in adult patients. It may block not only ilioinguinal and iliohypogastric nerves but also splanchnic nerves, which is conveyed via the thoracolumbar fascia. Therefore, we compare the effect of the TFPB and II/IH B on postoperative pain and walking form.

Enrollment

80 patients

Sex

All

Ages

2 to 13 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • the patients undergoing unilateral open hernia repair surgery

Exclusion criteria

  • known allergy to local anesthetics, psychomotor retardation, anti-epileptic drugs usage, anti-inflammatory drug usage

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

80 participants in 2 patient groups

Transversalis Fascia Plane Block
Experimental group
Description:
receive transversalis fascia plane block with 0.4 ml/kg of 0.25% levobupivacaine after establishment of general anesthesia.
Treatment:
Drug: Transversalis Fascia Plane Block
Ilioinguinal/iliohypogastric Nerve Block
Active Comparator group
Description:
receive ilioinguinal/iliohypogastric nerve block with 0.1 ml/kg of 0.25% levobupivacaine after establishment of general anesthesia.
Treatment:
Drug: Ilioinguinal/iliohypogastric Nerve Block

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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