Transversalis Fascia Plane Block for Laparoscopic Inguinal Hernia Repair

Not Applicable

Recruiting

• Conditions: Laparoscopic Inguinal Hernia Repair; Acute Post Operative Pain

• Registration Number: NCT06778629
• Lead Sponsor: Istanbul Medipol University Hospital

Brief Summary

Transversalis Fascia Plane Block (TFPB) is a trunk block that blocks the T12- L2 spinal nerves by injection of local anesthetic between the transversus abdominis muscle and transversalis fascia on the lateral abdominal wall. The block's positive effects on postoperative analgesia have been shown in many abdominal surgeries, including open-technique inguinal hernia repair.

This study aimed to investigate the effectiveness of ultrasound (US) guided TFPB on postoperative pain control for postoperative analgesia management after laparoscopic inguinal hernia repair.

Detailed Description

Inguinal hernia repairs are one of the most common general surgical operations and are generally performed with laparoscopic technique. Even laparoscopic inguinal hernia repair results in less acute postoperative pain compared to the open technique, untreated early pain may prolong hospital stay, exacerbate general discomfort, and affect the length of recovery, which may also have social and -economic implications. Opioids, due to their potent analgesic effects are used as a component of multimodal analgesia in the postoperative period. Despite their advantages, opioids may be related to pulmonary complications, postoperative delayed recovery due to ileus, nausea, and vomiting; and prolonged hospital stay. The use of interfascial plane blocks for pain management has increased recently, as ultrasonography (USG) has become a part of daily routine. Interfascial plane blocks provide effective postoperative analgesia.

Transversalis Fascia Plane Block (TFPB) is a body block that blocks the T12-L2 spinal nerves by injection of local anesthetic between the transversus abdominis muscle and transversalis fascia on the lateral abdominal wall Its positive effects on postoperative analgesia have been shown in many abdominal surgeries, including open technique inguinal hernia repair.

This study aimed to investigate the effectiveness of ultrasound (US) guided TFPB on postoperative pain control for postoperative analgesia management after laparoscopic inguinal hernia repair.

Study Timeline

• Study First Submitted: 2025-01-12
• Study First Submitted QC: 2025-01-12
• Study First Posted: 2025-01-16
• Study Start: 2025-02-14
• Status Verified: 2025-03
• Last Update Submitted: 2025-03-12
• Last Update Posted: 2025-03-14
• Primary Completion: 2025-12-15
• Study Completion: 2025-12-15

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• American Society of Anesthesiologists (ASA) classification I- II Patients
• Unilateral Inguinal Hernia Repair Surgery
• Elective Operations

Exclusion Criteria

• Patients with a history of chronic pain
• Evidence of infection in the intervention area
• Allergy to local anesthetics
• Coagulopathy
• Body-mass index (BMI) ≥ 30
• Body weight ≤ 50 kg
• Patients who do not agree to participate in the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Rescue analgesic use	Need for rescue analgesics at 1, 3, 6, 12,18, and 24 hours postoperatively.	The primary aim is to compare the rescue analgesia amount and its time used in the postoperative 24-hour period

Secondary Outcome Measures

Name	Time	Method
Compare postoperative pain scores (NRS scores)	NRS scores at rest and while moving will be evaluated and recorded at 1, 3, 6, 12,18, and 24 hours postoperatively.	The secondary aim is to compare the pain scores at rest and with movement. Postoperative pain assessment will be performed using the Numerical Rating Scale (NRS) (0 = no pain, 10 = the most severe pain felt). The NRS scores will be recorded. Low NRS is associated with better pain control.
Side effects and complications	Side effects and complications will be evaluated and recorded at 1, 3, 6, 12,18, and 24 hours postoperatively	To evaluate block-related complications and side effects (allergic reaction, nausea, vomiting)- block or opioid related

Trial Locations

Locations (1)

Istanbul Medipol University Mega Hospital Complex; 🇹🇷 Istanbul, Bagcilar, Turkey