Ultrasound-Guided Transversalis Fascia Plane Block Versus Caudal Block for Postoperative Analgesia in Children Undergoing Inguinal Herniorrhaphy

NCT ID: NCT06725667

Last Updated: 2025-12-30

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-11

Study Completion Date

2025-12-06

Brief Summary

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The aim of this study is to compare ultrasound-guided transversalis fascia plane block and caudal block for postoperative analgesia in children undergoing inguinal herniorrhaphy.

Detailed Description

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Surgical repair of inguinal hernia is one of the most common day-case surgeries in the pediatric population. It is associated with significant postoperative pain and discomfort.

Caudal block analgesia is a popular and reliable technique for lower abdominal surgeries and found to be safe and effective for providing intra and postoperative analgesia in pediatric patients.

transversal fascia plane block (TFPB) aims to provide analgesia for invasive procedures of the inguinal and sublingual areas by blocking the subcostal (T12), ilioinguinal (L1) and iliohypogastric (T12-L1) nerves. Several studies have reported TFPB as the analgesic method of choice for procedures involving the T12-L1 dermatome region, including iliac bone graft harvesting, cesarean section, and inguinal hernia repair

Conditions

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Ultrasound Transversalis Fascia Plane Block Caudal Block Postoperative Analgesia Children Inguinal Herniorrhaphy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Transversalis fascia plane block group

Patients will receive transversalis fascia plane block after the induction of general anesthesia.

Group Type EXPERIMENTAL

Transversalis fascia plane block

Intervention Type OTHER

Patients will receive transversalis fascia plane block after the induction of general anesthesia.

Caudal block group

Patients will receive caudal block after the induction of general anesthesia.

Group Type ACTIVE_COMPARATOR

Caudal block

Intervention Type OTHER

Patients will receive caudal block after the induction of general anesthesia.

Interventions

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Transversalis fascia plane block

Patients will receive transversalis fascia plane block after the induction of general anesthesia.

Intervention Type OTHER

Caudal block

Patients will receive caudal block after the induction of general anesthesia.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age from 1 to 7 years.
* Both sexes.
* American Society of Anesthesiology (ASA) physical status I-II.
* Scheduled for inguinal herniorrhaphy under general anesthesia (GA).

Exclusion Criteria

* Repeated surgeries.
* Known allergic reactions to any of the study's drugs.
* Infection at the site of block needle entry.
* Bleeding diathesis.
* Neurological disorders.
Minimum Eligible Age

1 Year

Maximum Eligible Age

7 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, Faculty of Medicine, Tanta University, Tanta, Egypt.

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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36264PR935/11/24

Identifier Type: -

Identifier Source: org_study_id