The Effect of the Transversalis Fascia Plane Block on Postoperative Pain Behavior After Hernia Repair Surgery in Children - Comparison With Conventional Ilioinguinal/Iliohypogastric Nerve Block-
Overview
- Phase
- N/A
- Intervention
- Transversalis Fascia Plane Block
- Conditions
- Postoperative Pain
- Sponsor
- Kazuhiko Okuyama, MD
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- walking appearance
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
This study compares the transversalis fascia plane block with the ilioinguinal/iliohypogastric nerve block in children undergoing hernia repair surgery.
Half of participants will receive the transversalis fascia plane block, while the other will receive the ilioinguinal/iliohypogastric nerve block.
Detailed Description
The ilioinguinal/iliohypogastric nerve block (II/IH B)is a widely used regional anesthesia technique in inguinal hernia repair surgery. However, this block provides limited analgesia during and after surgery, and the patients feel pain when walking. The transversalis fascia plane block (TFPB) is a recently developed technique and several case reports presented its efficacy for inguinal repair surgery in adult patients. It may block not only ilioinguinal and iliohypogastric nerves but also splanchnic nerves, which is conveyed via the thoracolumbar fascia. Therefore, we compare the effect of the TFPB and II/IH B on postoperative pain and walking form.
Investigators
Kazuhiko Okuyama, MD
Chief Anesthesiologist
Ibaraki Children's Hospital
Eligibility Criteria
Inclusion Criteria
- •the patients undergoing unilateral open hernia repair surgery
Exclusion Criteria
- •known allergy to local anesthetics, psychomotor retardation, anti-epileptic drugs usage, anti-inflammatory drug usage
Arms & Interventions
Transversalis Fascia Plane Block
receive transversalis fascia plane block with 0.4 ml/kg of 0.25% levobupivacaine after establishment of general anesthesia.
Intervention: Transversalis Fascia Plane Block
Ilioinguinal/iliohypogastric Nerve Block
receive ilioinguinal/iliohypogastric nerve block with 0.1 ml/kg of 0.25% levobupivacaine after establishment of general anesthesia.
Intervention: Ilioinguinal/iliohypogastric Nerve Block
Outcomes
Primary Outcomes
walking appearance
Time Frame: 3 to 5 hours after surgery
scoring a way of walking; 0: brisk walk, big step, able to skip (= no pain) to 5: not able to stand up ( = worst pain)
Secondary Outcomes
- FLACC (face, legs, activity, cry, consolability) score(3 to 5 hours after surgery)
- Faces Pain Scale revised(3 to 5 hours after surgery)
- additional pain curer usage(up to 5 hours after surgery)