The Effects of Ilioinguinal Nerve Block on Chronic Pain in Patients in Inguinal Hernia With Spinal Anesthesia
- Conditions
- Ilioinguinal Nerve Block
- Interventions
- Procedure: Research on the effects of Ilioinguinal Nerve Block on Chronic Pain in Patients who undergo Inguinal Hernia with Spinal AnesthesiaProcedure: Ilioinguinal nerve block
- Registration Number
- NCT04295629
- Lead Sponsor
- Bursa Yüksek İhtisas Education and Research Hospital
- Brief Summary
Regional anesthesia is a popular anesthetic method in patients who will undergo an inguinal hernia operation. Researchers known that pain in the operating area is a complaint that impairs the quality of life for patients in the long term after the operation. In addition to regional anesthesia, has planned to investigate the effects of applying another drug near the surgery area on pain that may develop in the long term.
- Detailed Description
Post-operative chronic pain can be defined as the neuropathic-characterized pain persisting at least 3 months after the surgery despite healing of the operation area.
However, it is still uncertain if the underlying physio-pathologic mechanism is due to intraoperative direct nerve injury or it is resulting from indirect nerve injury caused by inflammatory mesh. Post-operative chronic pain restricts the daily activities, causes anxiety and depression, increases use of analgesics and imposes a serious economic burden by increased use of health services and medical treatment. For this reason, today post-operative chronic pain is considered as an important complication of surgery. Researchers can list the risk factors of pain development as; age, weight, preoperative and postoperative pain, surgical method, recurrence, anesthesia method. Various oral non-steroid and/or opioid agents have been used in chronic pain treatment but nowadays interest in regional anesthesia approaches is increasing due to increased systemic side effects. Aim in this study is to evaluate the effects of postoperative ilioinguinal block implementation on chronic pain in patients who will undergo inguinal hernia operation with spinal anesthesia.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- ASA I-III
- Age 18-65
- Inguinal hernia operation with spinal anesthesia
- Patients who agreed to participate in the study
- Mental retards and communication disorder
- Infection at the injection site
- Patient with a clotting disorder
- Local anesthetic allergy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description VAS (Visüel Analog Score) Ilioinguinal nerve block VAS : 0-10 points 0 means: no pain 10 means: incredible pain VAS (Visüel Analog Score) Research on the effects of Ilioinguinal Nerve Block on Chronic Pain in Patients who undergo Inguinal Hernia with Spinal Anesthesia VAS : 0-10 points 0 means: no pain 10 means: incredible pain LANSS (Leeds Assessment of Neuropathic Symptoms and Signs) Ilioinguinal nerve block LANSS 0-24 points \>12 points : has chronic neuropathic pain \<12 points: no chronic neuropathic pain LANSS (Leeds Assessment of Neuropathic Symptoms and Signs) Research on the effects of Ilioinguinal Nerve Block on Chronic Pain in Patients who undergo Inguinal Hernia with Spinal Anesthesia LANSS 0-24 points \>12 points : has chronic neuropathic pain \<12 points: no chronic neuropathic pain
- Primary Outcome Measures
Name Time Method chronic pain scores(LANSS) 6 months The presence of pain that may occur in the 3rd and 6th months can be learned by contacting patients by phone. The Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) is a neuropathic pain scale. In LANSS follow-ups, 12 points or more were associated with neuropathic pain.
acute pain scores( VAS) 24 hours Presence of pain was interrogated in the hospital within the first 24 hours (2nd, 6th, 12th, 24th hours), Visüel Analog Scale (VAS) is between 0-10 points, 0 means no pain and 10 means incredible pain.
- Secondary Outcome Measures
Name Time Method postoperative complications 48 hours compared complications such as nausea, vomiting, motor or sensorial disorder after 48 hours of operation
hospital stay 48 hours compared how many days patients stayed in the hospital until they were discharged
taken amount of analgesic drugs 48 hours compared how many milligram analgesic agents are given to the patient will be followed.
Trial Locations
- Locations (1)
University of Health Sciences Bursa Yüksek İhtisas Training and Research Hospital
🇹🇷Bursa, Turkey