Evaluation of the Effects of Subcostal Transversus Abdominis Plane Block on Subacute Pain Development Following Inguinal Herniography: a Randomized Clinical Study
Overview
- Phase
- Not Applicable
- Intervention
- Tramadol and paracetamol
- Conditions
- Postoperative Pain
- Sponsor
- Istanbul University
- Enrollment
- 2
- Primary Endpoint
- verbal numeric scale
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Inguinal hernia repair with mesh has a high incidence of postoperative chronic pain. Transversus abdominis plane block is a current intervention to support postoperative analgesia, however it is recently in research area how to be applied in different surgical areas to be more effective than intravenous opioids. Subcostal transversus abdominis plane block is not advised but has not been studied to be effective for postoperative analgesia in inguinal herniography patients.
This study aims to research the effect of subcostal transversus abdominis plane block in subacute postoperative pain after inguinal hernia repair
Detailed Description
Patients were divided into two groups, one is control and the second is subcostal transversus abdominis plane block (STAP) group. After standard general anesthesia application, control group ( Group I) had 1 gram of paracetamol and 100 mg of contramal just after starting surgical closure. Group II (STAP) had 1 gram of paracetamol and 100 mg of contramal, after surgical closure transversus abdominis plane block in subcostal area was applied to the patient.
Investigators
Dr Cigdem Akyol Beyoğlu
medical doctor
Istanbul University
Eligibility Criteria
Inclusion Criteria
- •ASA I-III
- •who were to undergo elective unilateral inguinal herniography with "mesh" under general anesthesia.
Exclusion Criteria
- •patients who have allergy to local anesthetics
Arms & Interventions
Tramadol and paracetamol
subjects were administered intravenous analgesia (control group) Tramadol 100 mg and paracetamol 1000 mg at the end of the surgery
Intervention: Tramadol and paracetamol
transversus abdominis plane block
patients that applied transversus abdominis plane block at the end of the surgery after given intravenous analgesia
Intervention: transversus abdominis plane block
transversus abdominis plane block
patients that applied transversus abdominis plane block at the end of the surgery after given intravenous analgesia
Intervention: Tramadol and paracetamol
Outcomes
Primary Outcomes
verbal numeric scale
Time Frame: 1 month after the operation
patients were questioned for pain graduation to give a point from 0 to 10 according to the intensity of the pain. 0 equals to no pain, 10 equals to the strongest pain
Secondary Outcomes
- verbal numeric scale(15 minutes, 1-6-12-24 hours and 15 days after operation)