Assessment of Transversus abdominis plane block for relieving pain associated with laparoscopic inguinal hernia repair in adults
- Conditions
- Health Condition 1: M00-M99- Diseases of the musculoskeletal system and connective tissueHealth Condition 2: null- Patients undergoing laparoscopic inguinal hernia repair under general anaesthesia
- Registration Number
- CTRI/2014/07/004748
- 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
- 70
After obtaining institutional, departmental, ethics committee approval and informed written consent, the study will be conducted in 70, ASA Grade I and II, patients aged 18-65years undergoing uncomplicated primary laparoscopic inguinal hernia repair.
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 allergic to local anaesthetics.
5)Patients inability to understand the proper functioning and use of patient controlled analgesia (PCA) device due to any reason.
6)Patients whose hernia repair gets converted to open repair.
7)Patients with complicated hernias- obstructed, incarcerated or strangulated.
8)Patients with high BMI/ morbidly obese
9)Patients on which other surgicalprocedures are being performed concurrently.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To assess the analgesic efficacy of transversus abdominis plane (TAP) block with ropivacaine(0.5%) as compared to port site infiltration with ropivacaine(0.5%) for adult patients undergoing laparoscopic inguinal hernia repair in the first 24 hours postoperatively.Timepoint: We assess VAS at immediately post op, after shifting to recovery, Then at 1 hr, 2 hr, 4 hr, 6hr and next morning, from 4hr onwards VAS with knee bend and deep breath are also taken. Pain is again assessed at 1 wk and 3 months.
- Secondary Outcome Measures
Name Time Method To compare between the 2 groups- <br/ ><br>1. intra-operative analgesic (fentanyl) requirement <br/ ><br>2. the postoperative fentanyl requirement in the first 24 post operative hours b <br/ ><br>3. incidence of postoperative nausea and vomiting (PONV) <br/ ><br>4.the quality of recovery score at 24 hrs postoperatively <br/ ><br>5. the incidence of chronic neuropathic pain between the two groups at 3 months following surgery <br/ ><br>Timepoint: fentanyl requirement-intraoperative, fentanyl requirement, PONV, Quality of Recovery score at 24 hours postoperatively, and chronic neuropathic pain 3months postoperatively