Subarachnoid Block Versus Ultrasound Guided Transversalis Fascia Plane Block for Postoperative Analgesia of Inguinal Hernia Repair in Adults
NCT ID: NCT06219837
Last Updated: 2024-01-23
Study Results
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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RECRUITING
NA
80 participants
INTERVENTIONAL
2023-08-01
2024-10-31
Brief Summary
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Detailed Description
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The ultrasound (US)-guided transversalis fascia plane (TFP) block was first described by Hebbard in 2009. A local anesthetic (LA) injected between the transversus abdominis muscle, and its deep investing fascia will block the anterior and the lateral branches of the T12 and L1 nerves (4). The efficacy of this block has been demonstrated in iliac crest bone graft harvesting, caesarean section and inguinal herniorrhaphy
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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bupivacaine group
the patient in this arm will receive 20 ml of 0.25% bupivacaine injection by ultrasound guided transversalis fascia block for inguinal herniorraphy
bupivacaine injection by ultrasound guided transversalis fascia plane block
With patients in a sitting position and after appropriate skin asepsis, a 25-G pencil-point spinal needle (Pencil Point Spinal Needle Set, Egemen International Ltd., Izmir, Turkey) will be inserted through the L3 to L4 or L4 to L5 intervertebral space and 15 mg of 0.5% hyperbaric bupivacaine (AstraZeneca Pharmaceuticals, Cambridge, United Kingdom) will be injected. Subsequently, the patients will be positioned supine.
20 ml of 0.9% normal saline solution
he patient in this arm will receive 20 ml of 0.9% normal saline solution by ultrasound guided transversalis fascia block for inguinal herniorraphy
bupivacaine injection by ultrasound guided transversalis fascia plane block
With patients in a sitting position and after appropriate skin asepsis, a 25-G pencil-point spinal needle (Pencil Point Spinal Needle Set, Egemen International Ltd., Izmir, Turkey) will be inserted through the L3 to L4 or L4 to L5 intervertebral space and 15 mg of 0.5% hyperbaric bupivacaine (AstraZeneca Pharmaceuticals, Cambridge, United Kingdom) will be injected. Subsequently, the patients will be positioned supine.
Interventions
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bupivacaine injection by ultrasound guided transversalis fascia plane block
With patients in a sitting position and after appropriate skin asepsis, a 25-G pencil-point spinal needle (Pencil Point Spinal Needle Set, Egemen International Ltd., Izmir, Turkey) will be inserted through the L3 to L4 or L4 to L5 intervertebral space and 15 mg of 0.5% hyperbaric bupivacaine (AstraZeneca Pharmaceuticals, Cambridge, United Kingdom) will be injected. Subsequently, the patients will be positioned supine.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Patients 18-60 years.
* ASA I and II.
* Both sexes.
* Having no contraindication for spinal anesthesia or TFP block.
Exclusion Criteria
* 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.
18 Years
65 Years
ALL
Yes
Sponsors
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Cairo University
OTHER
Responsible Party
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Rabab
lecture of anathesia
Principal Investigators
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Marwa Zayed, Assistant professor
Role: STUDY_DIRECTOR
Cairo University
Belal Khater, Master
Role: PRINCIPAL_INVESTIGATOR
Cairo University
Mohamed Mohamed, MD
Role: STUDY_DIRECTOR
Cairo University
Locations
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Faculty of Medicine, Cairo University
Cairo, Giza Governorate, Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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(TFP) block
Identifier Type: -
Identifier Source: org_study_id
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