Post-operative Pain Relief for Paediatric Inguinal-Scrotal Surgery

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03167047

Enrollment

Registered

2017-05-25

Start date

2016-11-01

Completion date

2017-08-30

Last updated

2017-05-25

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

Conditions

Hernia, Inguinal

Brief summary

Two methods of pain control in children undergoing surgery on the groin and scrotum are caudal injection (a form of epidural) with local anaesthetic, and a regional nerve block (an injection of local anaesthetic around the nerves supplying the area). A pilot study at our hospital showed a significant decrease in post-operative pain and nausea and vomiting in these two methods when compared to intravenous morphine and local anaesthetic to the wound. One potential side effect from caudal injections is temporarily decreased motor power in the legs due to the local anaesthetic - it is thought that this might be overcome using a more dilute solution of local anaesthetic along with clonidine. This study is to demonstrate that this method is as effective as the use of a regional nerve block.

Interventions

PROCEDURECaudal block

Caudal epidural

PROCEDURENerve Block

Peripheral nerve block

DRUGStandarising intraoperative pain relief

All patients will receive a standarised dose of paracetamol 15mg/kg and fentanyl 2mcg/kg.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

SINGLE (Caregiver)

Eligibility

Sex/Gender

ALL

Age

1 Months to 16 Years

Healthy volunteers

Inclusion criteria

* Children undergoing day case elective inguinal-scrotal surgery

Exclusion criteria

* Contraindication to technique * Significant comorbidities * Patient/parent refusal

Design outcomes

Primary

Measure	Time frame	Description
Pain relief	Discharge postoperatively (approximately 2-4 hours postoperatively)	FLACC for preverbal children

Secondary

Measure	Time frame	Description
Motor paresis assessed with the Bromage score	Discharge postoperatively (approximately 2-4 hours postoperatively)	Bromage score

Countries

United Kingdom

Contacts

Primary ContactKumarvel Veerappan, FRCA

kumarvel.veerappan@nhs.net01634830000

Backup ContactRobert Hughes, MA

robert.hughes@medway.nhs.uk01634 830000

Outcome results

None listed

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