This study compares the transversalis fascia plane block with the ilioinguinal/iliohypogastric nerve block in children undergoing hernia repair surgery. Half of participants will receive the transversalis fascia plane block, while the other will receive the ilioinguinal/iliohypogastric nerve block.
The ilioinguinal/iliohypogastric nerve block (II/IH B)is a widely used regional anesthesia technique in inguinal hernia repair surgery. However, this block provides limited analgesia during and after surgery, and the patients feel pain when walking. The transversalis fascia plane block (TFPB) is a recently developed technique and several case reports presented its efficacy for inguinal repair surgery in adult patients. It may block not only ilioinguinal and iliohypogastric nerves but also splanchnic nerves, which is conveyed via the thoracolumbar fascia. Therefore, we compare the effect of the TFPB and II/IH B on postoperative pain and walking form.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
80
block will be performed under real-time ultrasound guidance
block will be performed under real-time ultrasound guidance
Ibaraki Children's Hospital
Mito, Ibaraki, Japan
walking appearance
scoring a way of walking; 0: brisk walk, big step, able to skip (= no pain) to 5: not able to stand up ( = worst pain)
Time frame: 3 to 5 hours after surgery
FLACC (face, legs, activity, cry, consolability) score
behavioral pain scale in children. Each category has 0 to 2 score; Total 0 (no pain) to 10 (worst)
Time frame: 3 to 5 hours after surgery
Faces Pain Scale revised
self-reported pain score. Children choose a face from six faces.
Time frame: 3 to 5 hours after surgery
additional pain curer usage
request or necessity of administration of acetaminophen or flurbiprofen
Time frame: up to 5 hours after surgery
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