Transversalis Fascia Plane Block for Laparoscopic Inguinal Hernia Repair (TFPB)

Medipol Health Group

Status: Enrolling

Conditions: Acute Post Operative Pain; Laparoscopic Inguinal Hernia Repair

Treatments: Procedure: Transversalis Fascia Plane Block; Procedure: Port Site Infiltration; Procedure: Post Operative Pain Management

Study type: Interventional

Funder types: Other

Identifiers

NCT06778629

Medipol Hospital 5

Details and patient eligibility

About

Transversalis Fascia Plane Block (TFPB) is a trunk block that blocks the T12- L2 spinal nerves by injection of local anesthetic between the transversus abdominis muscle and transversalis fascia on the lateral abdominal wall. The block's positive effects on postoperative analgesia have been shown in many abdominal surgeries, including open-technique inguinal hernia repair.

This study aimed to investigate the effectiveness of ultrasound (US) guided TFPB on postoperative pain control for postoperative analgesia management after laparoscopic inguinal hernia repair.

Full description

Inguinal hernia repairs are one of the most common general surgical operations and are generally performed with laparoscopic technique. Even laparoscopic inguinal hernia repair results in less acute postoperative pain compared to the open technique, untreated early pain may prolong hospital stay, exacerbate general discomfort, and affect the length of recovery, which may also have social and -economic implications. Opioids, due to their potent analgesic effects are used as a component of multimodal analgesia in the postoperative period. Despite their advantages, opioids may be related to pulmonary complications, postoperative delayed recovery due to ileus, nausea, and vomiting; and prolonged hospital stay. The use of interfascial plane blocks for pain management has increased recently, as ultrasonography (USG) has become a part of daily routine. Interfascial plane blocks provide effective postoperative analgesia.

Transversalis Fascia Plane Block (TFPB) is a body block that blocks the T12-L2 spinal nerves by injection of local anesthetic between the transversus abdominis muscle and transversalis fascia on the lateral abdominal wall Its positive effects on postoperative analgesia have been shown in many abdominal surgeries, including open technique inguinal hernia repair.

This study aimed to investigate the effectiveness of ultrasound (US) guided TFPB on postoperative pain control for postoperative analgesia management after laparoscopic inguinal hernia repair.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists (ASA) classification I- II Patients
• Unilateral Inguinal Hernia Repair Surgery
• Elective Operations

Exclusion criteria

• Patients with a history of chronic pain
• Evidence of infection in the intervention area
• Allergy to local anesthetics
• Coagulopathy
• Body-mass index (BMI) ≥ 30
• Body weight ≤ 50 kg
• Patients who do not agree to participate in the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Group T = TFPB group

Experimental group

Description:

Transversalis Fascia Plane block will be performed. Local anesthetic infiltration to port entrance sites at the beginning of the operation and standard postoperative pain management protocols will be applied.

Treatment:

Procedure: Post Operative Pain Management

Procedure: Port Site Infiltration

Procedure: Transversalis Fascia Plane Block

Group K = Control group

Active Comparator group

Description:

Local anesthetic infiltration to port entrance sites at the beginning of the operation and standard postoperative pain management protocols will be applied. No plane block will be applied.

Treatment:

Procedure: Post Operative Pain Management

Procedure: Port Site Infiltration