To assess if performing an injection between two muscle layers of the front of the abdomen (TAP block) under ultrasound guidance will help in relieving pain when hernia surgery is performed under injection of local anaesthetic i.e. without giving general anaesthesia.
- Conditions
- Health Condition 1: null- 18-65 year old ASA grade I & II patients scheduled to undergo inguinal hernia surgery under local anaesthesiaHealth Condition 2: M00-M99- Diseases of the musculoskeletal system and connective tissue
- Registration Number
- CTRI/2015/05/005772
- Lead Sponsor
- All India Institute of Medical Sciences
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 71
Patients aged 18 to 65 yrs (ASA grade 1 and 2) scheduled for open inguinal hernia repair by Lichtensteinâ??s repair method (tension free repair) will be included in the study.
Exclusion criteria
Following patients will be excluded for the study:
1) Patients who refuse to participate in the study.
2) Patients with infection at the site of proposed block
3) Patients having coagulopathy or receiving any anticoagulants.
4) Patients with known hypersensitivity to local anaesthetics.
5) Patients in whom other surgical procedures are being conducted concurrently
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To assess the Visual Analogue Scale (VAS) guided pain scores at restTimepoint: Pain will be assessed by an investigator not present during the intra-operative period, using a 0- 100mm visual analogue scale, at 0hrs(immediately after shifting to the PACU),at 1, 2, 4, 6, and 24 hrs post operatively.
- Secondary Outcome Measures
Name Time Method 1. To assess need for intraoperative fentanyl supplementation in adult patients undergoing open inguinal hernia repair with local anaesthetic infiltration with or without supplemental TAP block. <br/ ><br>2. To assess the VAS scores on movement at 2, 4, 6, 12 and 24 hours post-operatively in adult patients undergoing open inguinal hernia repair surgery. <br/ ><br> 3. To assess the Quality of recovery score on the evening of 1st post- operative day after surgery in the patients of 2 groups. <br/ ><br> <br/ ><br>Timepoint: 0, 1, 2, 4, 6, 12 hours and 24 hours post-operatively