Inguinal hernia
Conditions
Interventions
Lateral arcuate ligament approach of quadratus lumborum block group: Prior to anesthesia induction, patients will receive an ultrasound-guided quadratus lumborum block at the lateral arcuate ligament
Transversus abdominis plane block group:Prior to anesthesia induction, patients will receive an ultrasound-guided transversus abdominis plane block. Twenty milliliters of 0.5% ropivacaine will be adm
Anterior approach quadratus lumborum block group:Prior to anesthesia induction, patients will receive an ultrasound-guided anterior quadratus lumborum block . Twenty milliliters of 0.5% ropivacaine wi
Sponsors
The First Affiliated Hospital of Nanchang University
Eligibility
Sex/Gender
Male
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Male patients aged 18-65 years scheduled for unilateral laparoscopic inguinal hernia repair 2. ASA physical status I-III with satisfactory cardiopulmonary function to tolerate general anesthesia (e.g., hypertensive patients with well-controlled blood pressure on regular medication and without significant target organ damage)
Exclusion criteria
Exclusion criteria: 1. Severe organ dysfunction or coagulation disorders 2. Diabetes mellitus 3. History of chronic pain 4. Analgesic drug abuse or addiction (including opioids) 5. Infection at the injection site 6. History of local anesthetic allergy or contraindications 7. Anatomical alterations blocking local anesthetic spread 8. Inability to communicate effectively
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total cumulative morphine equivalent consumption at 24 hours postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| Sensory block level;Intraoperative consumption of sufentanil and remifentanil;postoperative rescue analgesic consumption and PCA attempts within 48 hours;Numerical Rating Scale (NRS) pain scores at 2, 4, 6, 12, 24, and 48 hours postoperatively;Time to first PCIA request;Time to first rescue analgesia; Time to first ambulation and flatus;Quality of Recovery-15 (QoR-15) scores at 24 and 48 hours postoperatively;Analgesic satisfaction score before discharge;Perioperative MAP and HR measurements were obtained at: OR admission , 2h , 4h , 6h , 12h , 24h , and 48h after surgery; | — |
Countries
China
Contacts
Public ContactLiu Tianyin
The First Affiliated Hospital of Nanchang University
Outcome results
None listed