Randomized Clinical Trial: Transverse Abdominis Plane Block Versus no Block in Laparoscopic Ventral Hernia Repair
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 90
- Locations
- 2
- Primary Endpoint
- Post operative cumulative analgesic requirement
Study Overview
Brief Summary
The current study aims to determine if transverse abdominis plane block using local anesthetic agents (bupivacaine 0.25% + Ropivacaine 0.20%) decreases the post operative pain and helps in early mobilization or discharge from hospital in patients undergoing laparoscopic ventral hernia repair.
Detailed Description
Patients meeting inclusion criteria would be randomised after admission. Those patients in experimental arm shall receive the TAP block under USG guidance while those in control arm do not receive any block. Surgery shall be proceeded in the usual manner in all the patients and assessment for pain starts in the immediate post operative or recovery room after the patient is completely conscious. The total amount of analgesic required by the patient is measured. Pain assessment is done using the visual analog scale (VAS) at regular intervals until follow up review.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Masking Description
Participant and assessors are masked
Eligibility Criteria
- Ages
- 15 Years to 75 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All patients undergoing laparoscopic ventral hernia repair during the study period
Exclusion Criteria
- •Age <15 or greater than 75 years
- •Obstructed , recurrent or strangulated hernia
- •Lap assisted open hernia repair
- •Patients undergoing component separation
- •Parastomal hernia, spigelian hernia, lumbar hernia
- •Patients with Chronic kidney disease, bronchial asthma
- •Patients allergic to bupivacaine or NSAIDs
- •Not willing to participate
Arms & Interventions
TAP block
Patients undergoing laparoscopic ventral hernia repair with TAP block with 0.2% ropivacaine under ultrasound guidance
Intervention: Laparoscopic ventral hernia repair with TAP block (Procedure)
No TAP block
Patients undergoing laparoscopic ventral hernia repair without TAP block
Intervention: Laparoscopic ventral hernia repair without TAP block (Procedure)
Outcomes
Primary Outcomes
Post operative cumulative analgesic requirement
Time Frame: 24 hours after surgery
The amount of analgesic required by the patient during hospital stay
Secondary Outcomes
- Post-operative hospital stay(7 days from primary surgery)