Comparison Between Ultrasound Guided Transversalis Fascia Plane block and Standard Wound Infiltration Technique On Postoperative Pain management in Patients with Inguinal Hernia Surgery- A Randomised Controlled Trial.

In this study 106 patients age between 15 to 60 years posted for inguinal hernia surgery.

Routine evalutions and investivations performed, patients are kept npo for 8 hours for solids and 4 hr for liquids. informed consent is obtined.

upon arrival in the oparating theater, standard ASA monitoring ( ECG, NIBP,SPO2). is establised. An 18 gauge IV cannula in inserted under aseptic condition  and ringer lactate infusion is started 5 ml /kg BW. Baseline vitals are recorded.

spinal anesthesia is administered at L4-L5 interspace using 25 G Quincke’s needle, with 2 ml of Bupivacaine 0.5% injected at arate of 2 ml/ second .

patient and outcome assessors are blinded to group allocation, with randomization done using computer generated numbers.

statistical analysis will be done by SPSS. sample size 106. in two group independent t test will be performed. p<0.5 is consider significant.

standard wound infiltration with 15 ml ropivacaine 0.2% or a TFP block is performed for TFP block ropivacaine in injected under USG guidance.

pain severity is evaluated by visual analogue scale (VAS) at specific time points post surgery . patient satisfaction is measured on a Linkert scale. Analgesic requests and total Diclofenac sodium requirements are recorded over 36 hours post surgery.