Comparison of Postoperative Analgesic Effects of Quadro-iliac Plane Block and Transversus Abdominis Plane Blocks in Inguinal Hernia Surgery
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Pain Score
研究概览
简要总结
Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide. Despite being classified as a minor surgical intervention, moderate to severe postoperative pain is reported in approximately 60% of patients. In a subset of these patients, acute postoperative pain may persist and evolve into chronic post-surgical inguinal pain, significantly affecting quality of life.
In recent years, beyond the use of systemic intravenous analgesics, ultrasound-guided fascial plane blocks have been increasingly incorporated into multimodal analgesia protocols with the aim of reducing postoperative opioid consumption and improving pain control. However, the current literature does not provide definitive evidence regarding the superiority of one block technique over another in this surgical population.
The primary objective of the present study is to compare the analgesic efficacy of the Quadro-iliac Plane Block (QIPB) and the transversus abdominis plane block (TAPB) in patients undergoing inguinal hernia repair.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged between 18 and 65 years
- •Patients with an American Society of Anesthesiologists (ASA) physical status classification of I-III.
- •Patients with a body mass index (BMI) between 18 and 30 kg/m².
- •Patients scheduled to undergo unilateral inguinal hernia repair under general anesthesia in the operating room.
排除标准
- •Patients younger than 18 years or older than 65 years.
- •Patients with an ASA physical status classification of IV or higher.
- •Patients with advanced comorbidities.
- •Patients with a history of bleeding diathesis.
- •Patients with infection at the site of the planned procedure.
- •Patients with a BMI below 18 kg/m² or above 30 kg/m².
研究组 & 干预措施
TAPB
After the patients were placed under observation, positioned in the supine position, and appropriate area sterilization was performed, TAPB was administered to the patients with 30 ml of 0.25% bupivacaine under ultrasound guidance.
干预措施: TAPB (Procedure)
QIPB
After the patients were placed under observation, positioned in the lateral decubitus position, and appropriate area sterilization was performed, QIPB was administered to the patients with 30 ml of 0.25% bupivacaine under ultrasound guidance.
干预措施: QIPB (Procedure)
结局指标
主要结局
Pain Score
时间窗: Up to 24 hours
Pain will be assessed using a visual analog scale from 0 mm (no pain) to 100 mm (worst pain) at rest and when coughing. Pain assessment will be made at 0, 1, 6, 12, 18, and 24 hours after surgery.
次要结局
- Patient Satisfaction(24th hour)
研究者
İbrahim Topcu
Principal Investigator
Ankara Etlik City Hospital