Ultrasound-Guided Transversalis Fascia Plane Block Versus Caudal Block for Postoperative Analgesia in Children Undergoing Inguinal Herniorrhaphy

Tanta University

Status: Completed

Conditions: Postoperative Analgesia; Caudal Block; Transversalis Fascia Plane Block; Children; Inguinal Herniorrhaphy; Ultrasound

Treatments: Other: Transversalis fascia plane block; Other: Caudal block

Study type: Interventional

Funder types: Other

Identifiers

NCT06725667

36264PR935/11/24

Details and patient eligibility

About

The aim of this study is to compare ultrasound-guided transversalis fascia plane block and caudal block for postoperative analgesia in children undergoing inguinal herniorrhaphy.

Full description

Surgical repair of inguinal hernia is one of the most common day-case surgeries in the pediatric population. It is associated with significant postoperative pain and discomfort.

Caudal block analgesia is a popular and reliable technique for lower abdominal surgeries and found to be safe and effective for providing intra and postoperative analgesia in pediatric patients.

transversal fascia plane block (TFPB) aims to provide analgesia for invasive procedures of the inguinal and sublingual areas by blocking the subcostal (T12), ilioinguinal (L1) and iliohypogastric (T12-L1) nerves. Several studies have reported TFPB as the analgesic method of choice for procedures involving the T12-L1 dermatome region, including iliac bone graft harvesting, cesarean section, and inguinal hernia repair

Enrollment: 50 patients

Sex: All

Ages: 1 to 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age from 1 to 7 years.
• Both sexes.
• American Society of Anesthesiology (ASA) physical status I-II.
• Scheduled for inguinal herniorrhaphy under general anesthesia (GA).

Exclusion criteria

• Repeated surgeries.
• Known allergic reactions to any of the study's drugs.
• Infection at the site of block needle entry.
• Bleeding diathesis.
• Neurological disorders.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Transversalis fascia plane block group

Experimental group

Description:

Patients will receive transversalis fascia plane block after the induction of general anesthesia.

Treatment:

Other: Transversalis fascia plane block

Caudal block group

Active Comparator group

Description:

Patients will receive caudal block after the induction of general anesthesia.

Treatment:

Other: Caudal block