None listed
Conditions
Brief summary
The present study aimed to measure the opioid-sparing effect of the laparoscopic- assisted psoas blockade in comparison with the transversus abdominis plane block in patients undergoing laparoscopic inguinal hernia repair. We hypothesized that the use of laparoscopic- assisted psoas (LAP) blockade can reduce the postoperative analgesic requirements following inguinal herniorraphy.
Interventions
The Laparoscopic-Assisted Psoas blockade was conducted after induction of general anesthesia. Under laparoscopic guidance and after achieving proper exposure of the psoas major muscle, a 5-mm horizontal incision was made in the ventral fascia of the psoas major muscle to provide a proper access for the block catheter. Successful catheter placement was confirmed by expansion of the plane between the psoas muscle and its corresponding fascia with 2 ml normal saline injection. After negative aspir
The Laparoscopic-Assisted Psoas blockade was conducted after induction of general anesthesia. Under laparoscopic guidance and after achieving proper exposure of the psoas major muscle, a 5-mm horizontal incision was made in the ventral fascia of the psoas major muscle to provide a proper access for the block catheter. Successful catheter placement was confirmed by expansion of the plane between the psoas muscle and its corresponding fascia with 2 ml normal saline injection. After negative aspiration, twenty milliliters of plain bupivicaine (2.5 mg/ml) were incrementally administered through the catheter.
Sponsors
Dr tarek Fouad Tammam
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
Male
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
Male patients scheduled for elective laparoscopic unilateral inguinal hernia repair with ASA physical status I–III will be enrolled in the clinical trial.
Exclusion criteria
Patients that had history of allergy to local anesthetics, obesity (BMI 'greater than or equal to' 30 kg/m2), recurrent hernia, neuropathies, or those on chronic analgesic therapies will be excluded from the study.
Outcome results
None listed