TAP Block and Subacute Pain in Inguinal Herniography

Not Applicable

Completed

• Conditions: Postoperative Pain
• Interventions: Drug: Tramadol and paracetamol; Procedure: transversus abdominis plane block

• Registration Number: NCT02914028
• Lead Sponsor: Istanbul University

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.

Study Timeline

• Study Start: 2016-04
• Primary Completion: 2016-08
• Study Completion: 2016-08
• Study First Submitted: 2016-08-26
• Study First Submitted QC: 2016-09-23
• Study First Posted: 2016-09-26
• Status Verified: 2019-02
• Last Update Submitted: 2019-02-25
• Last Update Posted: 2019-02-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Tramadol and paracetamol	Tramadol and paracetamol	subjects were administered intravenous analgesia (control group) Tramadol 100 mg and paracetamol 1000 mg at the end of the surgery
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
transversus abdominis plane block	Tramadol and paracetamol	patients that applied transversus abdominis plane block at the end of the surgery after given intravenous analgesia

Primary Outcome Measures

Name	Time	Method
verbal numeric scale	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 Outcome Measures

Name	Time	Method
verbal numeric scale	15 minutes, 1-6-12-24 hours and 15 days after operation	according to the intensity of the pain. 0 equals to no pain, 10 equals to the strongest pain