Pain control with rectus sheath block versus caudal epidural block after minimally invasive inguinal hernia repair in children
Official title: Comparison of the Postoperative Analgesic Effects of Rectus Sheath Block and Caudal Epidural Block in Pediatric Patients Scheduled for Percutaneous Internal Ring Suturing
Run by Diskapi Yildirim Beyazit Education and Research Hospital · NCT07147062 · Data updated 2026-11-12
This study will test whether a rectus sheath block or a caudal epidural block provides better pain relief for children aged 1–8 having minimally invasive inguinal hernia repair (PIRS).
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 1 Year to 8 Years |
| Sex | All |
| Enrollment | 65 (estimated) |
| Sponsor | Diskapi Yildirim Beyazit Education and Research Hospital Government |
| Locations | 1 site (Altındağ, Ankara) |
| Status | Recruiting |
| Started | September 8, 2025 |
| Main results expected | February 13, 2026 |
| Study ends | February 27, 2026 |
| Registry record updated | September 9, 2025 |
| Trial ID | NCT07147062 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children aged 1–8 years with ASA physical status I–II who are scheduled for PIRS and do not have a bleeding disorder are ideal candidates.
✕Probably not a fit
Children outside the 1–8 year age range, those with ASA status III or higher, or those with bleeding diathesis are unlikely to qualify or benefit from the interventions tested here.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two regional nerve block techniques—rectus sheath block (RSB) and caudal epidural block (CEB)—for postoperative analgesia in pediatric patients undergoing percutaneous internal ring suturing (PIRS). Eligible patients aged 1 to 8 years with ASA physical status I–II receive either RSB or CEB during surgery at the participating center. Postoperative outcomes such as pain scores, opioid consumption, and block-related adverse events are recorded to compare effectiveness and safety. The goal is to identify which block provides better pain control and reduces opioid needs after PIRS.
Why it matters
Potential benefit: If successful, the preferred block could reduce post-surgery pain and opioid requirements, improving comfort and lowering opioid-related side effects for children after PIRS.
How similar studies have gone: Both caudal epidural and rectus sheath blocks have been used successfully for analgesia in pediatric lower abdominal surgery, though direct comparisons specifically in PIRS patients are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients aged between 1 and 8 years * ASA physical status I-II * Patients who underwent PIRS surgery in the operating room and received either a rectus sheath block or a caudal epidural block Exclusion Criteria: * Patients younger than 1 year or older than 8 years * ASA physical status ≥ III * History of bleeding diathesis
Where it's running
-
Ankara Etlik City Hospital
Altındağ, Ankara, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Elif Şule Özdemir Sezgi
- Email: elifsule-91@hotmail.com
- Phone: 00905059209638
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.