Transversus Abdominis Plane(TAP) Block, Local Infiltration and Intravenous Dexketoprofen in Inguinal Hernia Repair

Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital120 enrolled

Overview

This study evaluates the compare the effects of ultrasound guided TAP block, local anesthetic infiltration to the incision line and intravenous dexketoprofen on postoperative analgesic efficacy and rescue tramadol consumption in inguinal hernia repairs.

Currently, multimodal techniques are used in inguinal hernia repairs in addition to pharmacological and regional techniques for postoperative analgesia.TAP block is performed on the principle of hydrodissection of the fascia between the internal oblique and transversus abdominis muscles of the abdominal wall muscles with local anesthetic drugs. Local anesthetic drugs provide analgesic effect up to 24 hours in the postoperative period by blocking the T6-L1 nerves in the facial plane. Local anesthetic infiltration which is one of the regional anesthetic techniques, is another method of postoperative analgesia. intravenous analgesic drug is also used as pharmacological postoperative analgesia method in most clinics.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

120

Conditions

Inguinal Hernia

Interventions

Transversus abdominis plane blockOTHER

Before surgery, Ultrasound-guided TAP block was performed preemptively to Group TAP patients.

Local anesthetic infiltrationOTHER

Before surgery, Ultrasound-guided Local anesthetic infiltration to the surgical incision line was performed preemptively to Group Local patients.

Intravenous dexketoprofenOTHER

Before surgery, 50 mg intravenous dexketoprofen was performed preemptively to Group dexketoprofen patients.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Subject who aged 18-75 years * American Society of Anesthesiologist (ASA) I-III * Subject undergoing unilateral or bilateral inguinal hernia repair Exclusion Criteria: * Subject under 18 and over 75 years of age * ASA IV * History of allergy to agents * Analgesic drug use in the last 48 hours * Morbid obese (BMI\> 35) * Confusion * Coagulopathy * Local infection at the injection site * Subject with heart, lung, hematologic, metabolic and endocrine disease * Subject who did not want to be included in the study * Subject who refused the spinal anesthesia * Subject who failed the spinal anesthesia

Locations (1)

University of Health Sciences Gazi Yaşargil Training and Research Hospital

Diyarbakır, Eyalet/Yerleşke, Turkey (Türkiye)

Outcomes

Primary Outcomes

Postoperative rescue tramadol consumption

The mean tramadol consumption in the first 24 post-operative hours

Time frame: 24 hours

Secondary Outcomes

Analgesic efficacy

Postoperative visual analog scale score recorded 0-10 (0 = no pain, 10 = severe pain) at 30. min, 1, 2, 4, 8, 12, 16 and 24 hours postoperatively

Time frame: 24 hours

Postoperative nausea-vomiting

Postoperative nausea-vomiting was evaluated with a 3-point system (0: no nausea and vomiting, 1: nausea, but no vomiting, 2: nausea with or without nausea) 24 hours postoperatively.

Time frame: 24 hours

Data from ClinicalTrials.gov

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