This study compares analgesic effectiveness of transversus abdominis plane block and quadratus lumborum block type 2 in open hernia repair surgery. All of the patients will receive routine intravenous analgesic regimen. In addition to that one-third of the patients will receive transversus abdominis plane block, one-third will receive quadratus lumborum block type 2. One-third of the patients will not receive any blocks and will constitute the control group
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
90
1000 mg of intravenous acetaminophen will be administered twice a day
20 ml of 0.25% bupivacaine will be administered to the fascia of the transversus abdominis muscle under ultrasound guidance.
15mg of 0.5% bupivacaine will be administered to subarachnoid space through 25G spinal needle
Izmir Bozyaka Training and Research Hospital
Izmir, Turkey (Türkiye)
Pain Intensity
Postoperative pain intensity according Numeric Rating Scale between 0-10 (0=no pain, 10=worst pain ever
Time frame: 24 hours after surgery
Pain Intensity
Postoperative pain intensity according Numeric Rating Scale between 0-10 (0=no pain, 10=worst pain ever)
Time frame: 2 hours after surgery
Pain Intensity
Postoperative pain intensity according Numeric Rating Scale between 0-10 (0=no pain, 10=worst pain ever
Time frame: 6 hours after surgery
Pain Intensity
Postoperative pain intensity according Numeric Rating Scale between 0-10 (0=no pain, 10=worst pain ever
Time frame: 48 hours after surgery
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50mg of intramuscular tramadol will be administered when pain score is greater than 3 according to NRS
Patients will undergo open inguinal hernia repair with one of the tension free mesh techniques
10 ml 0.25% bupivacaine will be administered quadratus lumborum muscle and erector spinae muscle