TRANSVERSE ABDOMINAL PLANE BLOCK VS. ILIO-INGUINAL ILIO-HYPOGASTRIC BLOCK in PEDIATRIC INGUINAL SURGERY

Tunis University

Status: Completed

Conditions: Analgesia; Ultrasound Guided Block

Treatments: Procedure: Ultrasound-guided Ilio-inguinal Ilio-Hypogatric block; Procedure: Ultrasoud-guided TAP block

Study type: Interventional

Funder types: Other

Identifiers

NCT06701162

012020

Details and patient eligibility

About

The ilio-inguinal ilio-hypogastric (IIIH) nerve block remains the gold standard analgesic technique after inguinal surgery in children. Transverse abdominal plane (TAP) block has been reported to provide effective analgesia after lower abdominal surgery in adults. The aim of our study was to compare the analgesic effect of ultrasound-guided TAP block to IIIH nerve block after inguinal surgery in children.

Full description

The study aimed to compare the analgesic effect of ultrasound-guided transverse abdominal plane (TAP) block to ilio-inguinal ilio-hypogastric (IIIH) nerve block in children after inguinal surgery. This prospective, randomized study included children aged six months to twelve years, classified as ASA I or II, scheduled for elective unilateral inguinal surgery. Participants received either a TAP block or an IIIH block with bupivacaine following standardized induction of general anesthesia. Analgesics were not systematically administered post-induction. Postoperative pain was monitored for six hours in the hospital, and if the CHEOPS score exceeded 7, paracetamol was administered, with nalbuphine as a secondary option if needed. At home, parents assessed pain using the PPMP score, administering paracetamol and ibuprofen if necessary. Primary outcomes included postoperative analgesia quality, determined by time to first analgesic requirement and the need for analgesics at hospital and home. Secondary outcomes measured included block performance duration, parental satisfaction, and incidence of complications.

Enrollment: 60 patients

Sex: All

Ages: 6 months to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children aged 6 months to 12 years
• ASA physical status 1 or 2
• Scheduled for unilateral inguinal surgery

Exclusion criteria

• Children scheduled for bilateral surgery or associated procedures (e.g., circumcision)
• Parental refusal

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

TAP group

Other group

Description:

Uktrasound-guided TAP block

Treatment:

Procedure: Ultrasoud-guided TAP block

IIIH block

Other group

Description:

Ultrasound-guided Ilio-inguinal Ilio-Hypogastric Block

Treatment:

Procedure: Ultrasound-guided Ilio-inguinal Ilio-Hypogatric block