Ilioinguinal Nerve Block With Local Anesthetic vs. Placebo in Inguinal Hernia Repair Under Spinal Anesthesia
- Conditions
- Inguinal Hernias
- Interventions
- Drug: Ilioinguinal/iliohypogastric Nerve BlockOther: Ilioinguinal/iliohypogastric with Placebo Block
- Registration Number
- NCT07049835
- Lead Sponsor
- Makassed General Hospital
- Brief Summary
Postoperative pain management remains a critical area of concern in surgical practices, especially in procedures involving the lower abdomen and pelvis. Inguinal Hernia is considered among few surgeries that may lead to chronic pain. Spinal anesthesia is a commonly utilized modality because of its efficacy in pain control and rapid recovery. However, the addition of peripheral nerve blocks, such as the ilioinguinal nerve block, may provide enhanced pain relief and reduce opioid consumption postoperatively. This study aims to evaluate the effectiveness of spinal anesthesia alone compared to spinal anesthesia supplemented with ultrasound-guided ilioinguinal and iliohypo-gastric nerve block in managing postoperative pain.
- Detailed Description
Objectives
1. Primary Objective: To compare the postoperative pain scores (using a standardized numerical rating scale) between patients receiving spinal anesthesia alone and those receiving spinal anesthesia with ultrasound-guided ilioinguinal nerve block.
2. Secondary Objectives:
* To assess the total opioid consumption in the first 24 hours post-surgery.
* To evaluate the time to first analgesic request postoperatively.
* Patient Satisfaction score post-op \>\> at rest , coughing , ambulation ( LEKENT SCORE ) .
Hypotheses
* Hypothesis 1: Patients receiving spinal anesthesia with an ilioinguinal nerve block will experience significantly lower postoperative pain scores compared to those receiving spinal anesthesia alone.
* Hypothesis 2: Patients receiving spinal anesthesia with an ilioinguinal nerve block will require less opioid medication in the first 24 hours post-surgery.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 100
- Adults aged 18-65 years
- ASA physical status I-III
- Scheduled for elective lower abdominal surgery (e.g., inguinal hernia repair, cesarean section)
- Allergy to local anesthetics
- Coagulation disorders
- Infection at the injection site
- Patients with neurological conditions affecting lower limbs
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intrathecal Mixture Block Ilioinguinal/iliohypogastric Nerve Block 15cc 0.25% of Bupivacaine + Dexamethasone 8 mg 2cc Intrathecal Placebo Ilioinguinal/iliohypogastric with Placebo Block 17 cc of Ns/s
- Primary Outcome Measures
Name Time Method Postoperative pain management 24 hours Pain scores will be assessed using an 11-point numerical rating scale (0-10) at 1, 6, 12, and 24 hours postoperatively.
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
Trial Locations
- Locations (1)
Makassed General Hospital
🇱🇧Beirut, Lebanon
Makassed General Hospital🇱🇧Beirut, Lebanon