Bilateral Recto-Intercostal Fascial Plane Block in Epigastric Hernia Repair

NCT ID: NCT06092073

Last Updated: 2026-01-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-21

Study Completion Date

2025-12-01

Brief Summary

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The aim of this study is to evaluate the efficacy and safety bilateral recto-intercostal fascial plane block (RIFPB) in epigastric hernia.

Detailed Description

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Epigastric hernias are usually occult in obese patients, and their symptoms may mimic peptic ulcer or gallbladder disease . Hernia repair is associated with considerable postoperative pain.

The recto-intercostal fascial plane block (RIFPB) is a new novel approach that was developed by Tulgar et al., 2023 who hypothesized that when we inject a local anesthetic into the interfacial plane just inferolateral to the xiphoid, between the rectus abdominis muscle and the 6-7th costal cartilages (hence, between the cartilages and the intercostal muscles between them), blockade of the anterior branches of the nerves passing through this area can be guaranteed.

Conditions

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Recto-intercostal Fascial Plane Block Epigastric Hernia Analgesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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RIFPB group

Patients will receive bilateral Recto-Intercostal Fascial Plane Block (RIFPB) using 20 mL of bupivacaine 0.25% on each side.

Group Type EXPERIMENTAL

recto-intercostal fascial plane block

Intervention Type PROCEDURE

Patients will receive bilateral recto-intercostal fascial plane block using 20 mL of bupivacaine 0.25% on each side.

bupivacaine

Intervention Type DRUG

bupivacaine 0.25%

Control group

Patients will not receive the block.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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recto-intercostal fascial plane block

Patients will receive bilateral recto-intercostal fascial plane block using 20 mL of bupivacaine 0.25% on each side.

Intervention Type PROCEDURE

bupivacaine

bupivacaine 0.25%

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18-65 years.
* Both sexes.
* American Society of Anesthesiology (ASA) physical status I-II.
* Scheduled for elective epigastric hernia repair.

Exclusion Criteria

* Obese patients with body mass index (BMI) \>35 kg/m2.
* Patients with a large hernia containing bowel.
* Patients with local anesthetic allergy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Mohammed Said ElSharkawy

Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Tanta University

Tanta, El-Gharbia, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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36264PR330/9/23

Identifier Type: -

Identifier Source: org_study_id

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