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

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

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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