Transversus Abdominis Plane(TAP) Block, Local Infiltration and Intravenous Dexketoprofen in Inguinal Hernia Repair (Analgesia)

Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital

Status: Completed

Conditions: Inguinal Hernia

Treatments: Other: Local anesthetic infiltration; Other: Intravenous dexketoprofen; Other: Transversus abdominis plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT04227912

SBUGaziYasargilTRH

Details and patient eligibility

About

This study evaluates the compare the effects of ultrasound guided TAP block, local anesthetic infiltration to the incision line and intravenous dexketoprofen on postoperative analgesic efficacy and rescue tramadol consumption in inguinal hernia repairs.

Full description

Currently, multimodal techniques are used in inguinal hernia repairs in addition to pharmacological and regional techniques for postoperative analgesia.TAP block is performed on the principle of hydrodissection of the fascia between the internal oblique and transversus abdominis muscles of the abdominal wall muscles with local anesthetic drugs. Local anesthetic drugs provide analgesic effect up to 24 hours in the postoperative period by blocking the T6-L1 nerves in the facial plane. Local anesthetic infiltration which is one of the regional anesthetic techniques, is another method of postoperative analgesia. intravenous analgesic drug is also used as pharmacological postoperative analgesia method in most clinics.

Enrollment: 120 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Subject who aged 18-75 years
• American Society of Anesthesiologist (ASA) I-III
• Subject undergoing unilateral or bilateral inguinal hernia repair

Exclusion criteria

• Subject under 18 and over 75 years of age
• ASA IV
• History of allergy to agents
• Analgesic drug use in the last 48 hours
• Morbid obese (BMI> 35)
• Confusion
• Coagulopathy
• Local infection at the injection site
• Subject with heart, lung, hematologic, metabolic and endocrine disease
• Subject who did not want to be included in the study
• Subject who refused the spinal anesthesia
• Subject who failed the spinal anesthesia

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

120 participants in 3 patient groups

Group TAP

Active Comparator group

Description:

Ultrasound-guided TAP Block

Treatment:

Other: Transversus abdominis plane block

Group Local

Active Comparator group

Description:

Ultrasound-guided Local Infiltration

Treatment:

Other: Local anesthetic infiltration

Group Dexketoprofen

Active Comparator group

Description:

Intravenous Dexketoprofen

Treatment:

Other: Intravenous dexketoprofen