Inguinal Hernia
Conditions
Brief summary
Propose to comparison effectiveness of blind local anesthetic infiltration with ultrasound guided Transversals Fascia Block and Spinal Anesthesia in patients undergoing to inguinal hernia repair surgery. The effectiveness is defined as pain control during intraoperative and time need to reach hospital discharge criteria in the post-operative period.
Interventions
PROCEDUREBlind Local Anesthetic infiltration
Patients of this group received blind local anesthetic infiltration on surgical site. Local anesthetic infiltration are performed by surgeon.
PROCEDURETransversals Fascia Block
Patients of this group received ultrasound guided omolateral Transversals Fascia Block.
PROCEDURESpinal Anesthesia
Patients of this group received Spinal Anesthesia
DRUGRopivacaine
Local anesthetic used for local infiltration and Transversals fascia block
DRUGBupivacaine
Local anesthetic used for Spinal Anesthesia
Sponsors
Istituti Ospitalieri di Cremona
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age\> 18 years; * ASA score I - II - III; * patients undergoing elective inguinal hernia repair; * signed informed consent;
Exclusion criteria
* chronic therapy with opioids/ antidepressants; * urgent/emergent surgery; * postoperative transfer to the intensive care unit; * known allergy to any drug medication; * local skin infection; * epilepsy; * alcohol or drug abuse;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital discharge | First 6 post-operative hours | Time need to reach hospital discharge criteria in post-operative period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative Pain Control | Intraoperative period | Need of addiction local anesthetic or endovascular anesthetic to performed surgery |
| Post-operative Pain | Post-operative period for 6 hours, every 30 min | NRS score in post-operative period |
| Side effects | intra-operative and post-operative period (6 hours) | Incidence of side effects |
| Chronic Pain | at 1 week and 3 months in post-operative period | Incidence of chronic post-operative pain |
Countries
Italy
Contacts
Primary ContactErika Basso Ricci, M.D.
Outcome results
None listed