Impact of TAP block on pain after inguinal hernia repair
The Effect of Preemptive Regional Anesthesia (TAP-block) on Acute and Chronic Pain After Transabdominal Preperitoneal Inguinal Hernia Repair (TAPP) - a Randomized Controlled Trial
This study is testing if a special pain relief technique called the TAP block can help people feel less pain and recover faster after having surgery for an inguinal hernia.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 78 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Pirogov Russian National Research Medical University Academic / other |
| Locations | 1 site (Moscow) |
| Trial ID | NCT06406959 on ClinicalTrials.gov |
What this trial studies
This study investigates the effects of a preemptive regional anesthesia technique known as the Transversus Abdominis Plane (TAP) block on both acute and chronic pain following elective Transabdominal Preperitoneal (TAPP) inguinal hernia repair. Given that inguinal hernia repair is a common surgical procedure, the study aims to determine if administering the TAP block can reduce postoperative pain and improve recovery times. The research will focus on patients with unilateral primary inguinal hernias and will assess pain levels and analgesic consumption post-surgery. The findings could provide valuable insights into optimizing pain management strategies in hernia repair surgeries.
Who should consider this trial
Good fit: Ideal candidates for this study are patients with unilateral primary inguinal hernias scheduled for elective TAPP surgery, who are classified as ASA I-III and have a BMI of 35 or less.
Not a fit: Patients with inguinoscrotal hernias, mental disorders, or those on specific medications may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce postoperative pain and improve recovery for patients undergoing inguinal hernia repair.
How similar studies have performed: Previous studies have shown the TAP block to be effective in reducing pain after various types of hernia repairs, although evidence specific to TAPP is limited and requires further investigation.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with unilateral primary inguinal hernia who are scheduled for elective Transabdominal preperitoneal inguinal hernia repair (TAPP) * Signed Informed consent to participation * ASA I-III * BMI ≤35 kg/m2 Non-inclusion Criteria: * Inguinoscrotal hernia (hernia passing through the entrance to the scrotum) * Previously diagnosed mental disorders * Patients receiving psychotropic drugs and drugs affecting adrenal cortex function (estrogens and systemic glucocorticoids) * Language barrier Exclusion Criteria: * Deviations during the operation/anesthesia that required transfer to the intensive care unit or conversion to open surgery * Refusal to participate
Where this trial is running
Moscow
- Department of faculty surgery №1 Pirogov Russian National Research Medical University — Moscow, Russia (Recruiting)
Study contacts
- Study coordinator: Taras Nechay, MD
- Email: tnechay@mail.ru
- Phone: +79268146829
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.