Comparison of an ultrasound guided bilateral TAP (transversus abdominis plane) block with dexamethasone and preperitoneal instillation of local anesthetic with dexamethasone under direct visualization will be compared it to a standard anesthetic technique (control) following a TEP (total extraperitoneal) bilateral hernia repair. The investigators are hypothesizing that the bilateral TAP block and preperitoneal instillation of local anesthetics with the addition of dexamethasone are superior in terms of patient satisfaction and post-operative pain control when compared to a standard anesthetic technique (no regional technique).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
75
Ultrasound guided TAP block with local anesthetics and dexamethasone.
Instillation of surgical site with local anesthetics and dexamethasone.
Standard anesthetic technique.
Richard L. Roudebush Veterans Affairs Medical Center
Indianapolis, Indiana, United States
Assess the efficacy of a bilateral TAP block and preperitoneal instillation of local anesthetic to a standard anesthetic technique for TEP hernia repair
Assessment will be done postoperatively using a Quality of Recovery 40 (QoR-40) questionnaire after surgery.
Time frame: Post-operatively (Day 1)
Assess the efficacy of a bilateral TAP block and preperitoneal instillation of local anesthetic to a standard anesthetic technique for TEP hernia repair
Total opioid use in the post anesthesia care unit (PACU) and the period following surgery.
Time frame: Post-operatively (Day 0 to 1)
Assess the efficacy of a bilateral TAP block and preperitoneal instillation of local anesthetic to a standard anesthetic technique for TEP hernia repair
Pain scores in the PACU
Time frame: Post-operatively (day 0)
Assess the efficacy of a bilateral TAP block and preperitoneal instillation of local anesthetic to a standard anesthetic technique for TEP hernia repair
Pain scores post-operatively.
Time frame: Post-operatively (day 1)
Assess the efficacy of a bilateral TAP block and preperitoneal instillation of local anesthetic to a standard anesthetic technique for TEP hernia repair
Any side effects secondary to any of the post-operative pain procedures.
Time frame: Post-operatively (day 0 to 1)
Assess the efficacy of a bilateral TAP block and preperitoneal instillation of local anesthetic to a standard anesthetic technique for TEP hernia repair
Time spent in the PACU
Time frame: Post-operatively (day 0)
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