TAP Block and Subacute Pain in Inguinal Herniography

Evaluation of the Effects of Subcostal Transversus Abdominis Plane Block on Subacute Pain Development Following Inguinal Herniography: a Randomized Clinical Study

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02914028

Enrollment

Registered

2016-09-26

Start date

2016-04-30

Completion date

2016-08-31

Last updated

2019-02-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative Pain

Keywords

TAP block, subacute pain, inguinal herniography

Brief summary

Inguinal hernia repair with mesh has a high incidence of postoperative chronic pain. Transversus abdominis plane block is a current intervention to support postoperative analgesia, however it is recently in research area how to be applied in different surgical areas to be more effective than intravenous opioids. Subcostal transversus abdominis plane block is not advised but has not been studied to be effective for postoperative analgesia in inguinal herniography patients. This study aims to research the effect of subcostal transversus abdominis plane block in subacute postoperative pain after inguinal hernia repair

Detailed description

Patients were divided into two groups, one is control and the second is subcostal transversus abdominis plane block (STAP) group. After standard general anesthesia application, control group ( Group I) had 1 gram of paracetamol and 100 mg of contramal just after starting surgical closure. Group II (STAP) had 1 gram of paracetamol and 100 mg of contramal, after surgical closure transversus abdominis plane block in subcostal area was applied to the patient.

Interventions

PROCEDUREtransversus abdominis plane block

A peripheric block needle is inserted entering the facia between musculus rectus abdominis and musculus transversus abdominis with ultrasonography and local anesthetics are injected in the facia.

DRUGTramadol and paracetamol

Tramadol 100 mg and paracetamol 1000 mg are applied to the patients at the end of the surgery

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

TRIPLE (Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 75 Years

Healthy volunteers

Yes

Inclusion criteria

* ASA I-III * who were to undergo elective unilateral inguinal herniography with mesh under general anesthesia.

Exclusion criteria

* patients who have allergy to local anesthetics

Design outcomes

Primary

Measure	Time frame	Description
verbal numeric scale	1 month after the operation	patients were questioned for pain graduation to give a point from 0 to 10 according to the intensity of the pain. 0 equals to no pain, 10 equals to the strongest pain

Secondary

Measure	Time frame	Description
verbal numeric scale	15 minutes, 1-6-12-24 hours and 15 days after operation	according to the intensity of the pain. 0 equals to no pain, 10 equals to the strongest pain

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026