Health Condition 1: M00-M99- Diseases of the musculoskeletal system and connective tissue Health Condition 2: null- Patients undergoing laparoscopic inguinal hernia repair under general anaesthesia
Conditions
Interventions
Intervention1: Study group-Transversus abdominis plane (TAP) block: The study group of patients will get a TAP block after general anesthesia induction prior to undergoing laparoscopic inguinal hernia
Sponsors
All India Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: After obtaining institutional, departmental, ethics committee approval and informed written consent, the study will be conducted in 70, ASA Grade I and II, patients aged 18-65years undergoing uncomplicated primary laparoscopic inguinal hernia repair.
Exclusion criteria
Exclusion criteria: Following patients will be excluded for the study: 1) Patients who refuse to participate in the study. 2) Patients with infection at the site of proposed block 3) Patients having coagulopathy or receiving any anticoagulants. 4) Patients allergic to local anaesthetics. 5)Patients inability to understand the proper functioning and use of patient controlled analgesia (PCA) device due to any reason. 6)Patients whose hernia repair gets converted to open repair. 7)Patients with complicated hernias- obstructed, incarcerated or strangulated. 8)Patients with high BMI/ morbidly obese 9)Patients on which other surgicalprocedures are being performed concurrently.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the analgesic efficacy of transversus abdominis plane (TAP) block with ropivacaine(0.5%) as compared to port site infiltration with ropivacaine(0.5%) for adult patients undergoing laparoscopic inguinal hernia repair in the first 24 hours postoperatively.Timepoint: We assess VAS at immediately post op, after shifting to recovery, Then at 1 hr, 2 hr, 4 hr, 6hr and next morning, from 4hr onwards VAS with knee bend and deep breath are also taken. Pain is again assessed at 1 wk and 3 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare between the 2 groups- 1. intra-operative analgesic (fentanyl) requirement 2. the postoperative fentanyl requirement in the first 24 post operative hours b 3. incidence of postoperative nausea and vomiting (PONV) 4.the quality of recovery score at 24 hrs postoperatively 5. the incidence of chronic neuropathic pain between the two groups at 3 months following surgery Timepoint: fentanyl requirement-intraoperative, fentanyl requirement, PONV, Quality of Recovery score at 24 hours postoperatively, and chronic neuropathic pain 3months postoperatively | — |
Countries
India
Contacts
Public ContactDr Shubhangi
All India Institute of Medical Sciences
Outcome results
None listed