Trial | NCT02375100  Report issue

Title

Transversus Abdominis Plane Block Versus Ilioinguinal Nerve Block for Pain Management in Inguinal Herniorraphy
Comparison of Efficacy of Transversus Abdominis Plane Block and Ilioinguinal Nerve Block for Postoperative Pain Management in Patients Undergoing Inguinal Herniorraphy With Spinal Anesthesia

  • Phase

    N/A

  • Study Type

    Interventional

  • Status

    Completed No Results Posted

  • Intervention/Treatment

    acetaminophen levobupivacaine tramadol dexmedetomidine ...

  • Study Participants

    90
This study compares efficacy of transversus abdominis plane block and ilioinguinal nerve block for postoperative pain in patients undergoing inguinal herniorraphy with spinal anesthesia. One-third of the patients will receive standard postoperative pain regimen(control group), one-third will receive a transversus abdominis plane block (with ultrasound guidance) and the last group will receive an ilioinguinal nerve block(with ultrasound guidance) in addition to standard postoperative pain regimen. This study is a Randomized prospective open-label controlled study.
Study Started
Feb 28
2015
Primary Completion
Oct 31
2015
Study Completion
Oct 31
2015
Last Update
Oct 28
2015
Estimate

Procedure Spinal Anesthesia

All patients will be administered 3ml of %0.5 bupivacaine through L3-L4 interspace to acquire motor and sensory blockade

  • Other names: Spinal Block

Procedure Transversus Abdominis Plane Block

Analgesic intervention which will be performed only to Transversus Abdominis Plane Block arm. It requires 20ml of %0.25 bupivacaine administration through a 22 G. x 4 in. (100 mm) Insulated Echogenic Needle with 30° Bevel from midaxillary line between costal margin and anterior superior iliac spine with ultrasound guidance

  • Other names: TAP block

Procedure Ilioinguinal Nerve Block

Analgesic intervention which will be performed only to Ilioinguinal Nerve Block arm. It requires 10ml of %0.25 bupivacaine administration through a 22 G. x 3-1/8 in. (80 mm) Insulated Echogenic Needle with 30° Bevel between umbilicus and iliac crest where the nerve is detected with ultrasound guidance

  • Other names: IIN Block

Drug Bupivacaine %0.5 (hyperbaric)

  • Other names: Heavy bupivacaine

Drug Bupivacaine %0.25 (isobaric)

  • Other names: Plain bupivacaine

Device 25G Quincke needle

Device Echogenic Needle with 30° bevel

Drug Acetaminophen

Analgesic drug administration through iv and im route postoperatively. Patients are administered iv acetaminophen 1g twice a day routinely

  • Other names: Analgesics

Drug Tramadol

Patients will be administered tramadol in postoperative period when their pain score exceeds 4 points (moderate pain)

  • Other names: Analgesics

Intrathecal bupivacaine&analgesics Active Comparator

Patients will be given standard care during perioperative period. They will undergo inguinal herniorraphy operation under spinal anesthesia (with 3ml of %0.5 hyperbaric bupivacaine intrathecally) and receive an parenteral pain regimen (acetaminophen for intravenous infusion in two doses routinely and intramuscular tramadol 50 mg when pain score is higher than 4) in postoperative period.

TAP Block with bupivacaine Experimental

In addition to standard perioperative care (spinal anesthesia and parenteral pain regimen) patients will receive transversus abdominis plane block (with 20ml of %0.25 isobaric bupivacaine) just before surgery is initiated.

IlNB with bupivacaine Experimental

In addition to standard perioperative care (spinal anesthesia and parenteral pain regimen) patients will receive Ilioinguinal nerve block (with 20ml of %0.25 isobaric bupivacaine) just before surgery is initiated.

Criteria 

Inclusion Criteria:

patients over 18 years old
having ASA (American Society of Anesthesiologists) 1 or 2 physical status score preoperatively
not having a neuromuscular disease
scheduled for elective single sided inguinal herniorraphy operation

Exclusion Criteria:

being under 18 years of age
patient refusal
having a neuromuscular disease or sensorial neurological deficit covering similar area of effect with peripheral nerve block interventions or the surgical site
having ASA 3 or 4 physical status score preoperatively
having one of the contraindications to spinal anesthesia and/or to peripheral nerve blocks as listed by NYSORA (New York School of Regional Anesthesia)
having emergency surgery or scheduled for bilateral inguinal herniorraphy
No Results Posted