Inguinal Hernia, Postoperative Pain
Conditions
Brief summary
This study compares analgesic effectiveness of transversus abdominis plane block and quadratus lumborum block type 2 in open hernia repair surgery. All of the patients will receive routine intravenous analgesic regimen. In addition to that one-third of the patients will receive transversus abdominis plane block, one-third will receive quadratus lumborum block type 2. One-third of the patients will not receive any blocks and will constitute the control group
Interventions
1000 mg of intravenous acetaminophen will be administered twice a day
20 ml of 0.25% bupivacaine will be administered to the fascia of the transversus abdominis muscle under ultrasound guidance.
15mg of 0.5% bupivacaine will be administered to subarachnoid space through 25G spinal needle
50mg of intramuscular tramadol will be administered when pain score is greater than 3 according to NRS
Patients will undergo open inguinal hernia repair with one of the tension free mesh techniques
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who are over 18 years of age * Patients who are scheduled for elective unilateral open hernia repair with tension free mesh techniques * Patients who are in ASA's physical status score group 1 or 2
Exclusion criteria
* Patients who are younger than 18 years of age * Patients who have severe stenotic heart diseases * Patients who have bleeding diathesis * Patients who have true allergies to local anesthetics * Patients who have neurologic deficits corresponding to effect site of the anesthetic techniques
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | 24 hours after surgery | Postoperative pain intensity according Numeric Rating Scale between 0-10 (0=no pain, 10=worst pain ever |
Countries
Turkey (Türkiye)