Ultrasound-guided EXORA (external oblique and rectus abdominis plane) block for pain and stress in umbilical hernia repair

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults scheduled for elective umbilical hernia repair under general anesthesia will receive either standard general anesthesia alone or general anesthesia plus an ultrasound-guided external oblique and rectus abdominis plane (EXORA) block. Researchers will measure neuroendocrine stress markers and postoperative analgesia using hormonal assays and pain scoring at defined time points before and after surgery. The EXORA block is a fascial plane technique intended to numb the anterolateral abdominal wall and may complement or fill gaps left by other blocks such as QLB or ESP. Outcomes will include differences in hormonal stress response and measures of postoperative opioid requirement and pain control.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Aged from 21 to 65 years.
* Both sexes.
* American Society of Anesthesiologists (ASA) Physical status I and Ⅱ.
* Schedule for elective umbilical hernia surgery under general anesthesia.

Exclusion Criteria:

* ASA Ⅲ or Ⅳ.
* Patients with metabolic abnormalities, e.g., diabetes mellitus.
* Patients receiving corticosteroids.
* History of allergies to local anesthetics.
* Bleeding or coagulation disorders.
* Anatomical abnormalities.
* Psychiatric and neurological disorders.
* Complicated hernial defect (obstructed).
* Patient refusal.

Where it's running

• Tanta University
  Tanta, Egypt Recruiting

Study contacts

• Study coordinator: Mayada H Sokeer, Master
• Email: mayada.hady@med.tanta.edu.eg
• Phone: 00201095315597

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.