Comparing two methods for pain relief after inguinal hernia surgery
Subarachnoid Block Versus Ultrasound Guided Transversalis Fascia Plane Block for Postoperative Analgesia of Inguinal Hernia Repair in Adults: A Randomized, Double Blinded, Controlled Trial
This study tests whether a new way of blocking pain with ultrasound can help adults after inguinal hernia surgery feel better and use less opioid medication compared to a traditional method.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 80 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | Cairo University Academic / other |
| Locations | 1 site (Cairo, Giza) |
| Trial ID | NCT06219837 on ClinicalTrials.gov |
What this trial studies
This study investigates the effectiveness of an ultrasound-guided transversalis fascia plane block compared to a subarachnoid block for managing postoperative pain in adults undergoing inguinal hernia repair. The focus is on reducing opioid consumption as part of a multimodal analgesia approach. Participants will receive a local anesthetic injection to block specific nerves, aiming to enhance pain control after surgery. The study will include patients aged 18-60 who are eligible for spinal anesthesia.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18-60 undergoing inguinal herniorrhaphy with ASA I and II classifications.
Not a fit: Patients with contraindications for spinal anesthesia or local anesthetics, such as allergies or certain medical conditions, may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to reduced opioid use and improved pain management for patients after inguinal hernia surgery.
How similar studies have performed: Previous studies have shown the efficacy of ultrasound-guided nerve blocks in various surgical procedures, suggesting potential success for this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients undergoing inguinal herniorrhaphy. * Patients 18-60 years. * ASA I and II. * Both sexes. * Having no contraindication for spinal anesthesia or TFP block. Exclusion Criteria: * Refusal of regional anesthesia. * Infection in the back or at the site of injection for TFP block. * INR \> 1.5. * Platelet count \< 80000 per microliter of blood. * Patients known to be allergic to amide local anesthetics. * BMI greater than 35 kgm_2. * Opioid addiction. * Have communication problems that may hinder the assessement of pain postoperative.
Where this trial is running
Cairo, Giza
- Faculty of Medicine, Cairo University — Cairo, Giza, Egypt (Recruiting)
Study contacts
- Principal investigator: Belal Khater, Master — Cairo University
- Study coordinator: Rabab Sabry, MD
- Email: rababsabry@hotmail.com
- Phone: 01010792931
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.