Postoperative Pain, Inguinal Hernia Unilateral, Children, Only
Conditions
Keywords
transversalis fascia, ilioinguinal/iliohypogastric nerve, inguinal hernia repair, children
Brief summary
This study compares the transversalis fascia plane block with the ilioinguinal/iliohypogastric nerve block in children undergoing hernia repair surgery. Half of participants will receive the transversalis fascia plane block, while the other will receive the ilioinguinal/iliohypogastric nerve block.
Detailed description
The ilioinguinal/iliohypogastric nerve block (II/IH B)is a widely used regional anesthesia technique in inguinal hernia repair surgery. However, this block provides limited analgesia during and after surgery, and the patients feel pain when walking. The transversalis fascia plane block (TFPB) is a recently developed technique and several case reports presented its efficacy for inguinal repair surgery in adult patients. It may block not only ilioinguinal and iliohypogastric nerves but also splanchnic nerves, which is conveyed via the thoracolumbar fascia. Therefore, we compare the effect of the TFPB and II/IH B on postoperative pain and walking form.
Interventions
block will be performed under real-time ultrasound guidance
block will be performed under real-time ultrasound guidance
Sponsors
Kazuhiko Okuyama, MD
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
2 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
* the patients undergoing unilateral open hernia repair surgery
Exclusion criteria
* known allergy to local anesthetics, psychomotor retardation, anti-epileptic drugs usage, anti-inflammatory drug usage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| walking appearance | 3 to 5 hours after surgery | scoring a way of walking; 0: brisk walk, big step, able to skip (= no pain) to 5: not able to stand up ( = worst pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FLACC (face, legs, activity, cry, consolability) score | 3 to 5 hours after surgery | behavioral pain scale in children. Each category has 0 to 2 score; Total 0 (no pain) to 10 (worst) |
| Faces Pain Scale revised | 3 to 5 hours after surgery | self-reported pain score. Children choose a face from six faces. |
| additional pain curer usage | up to 5 hours after surgery | request or necessity of administration of acetaminophen or flurbiprofen |
Other
| Measure | Time frame | Description |
|---|---|---|
| intraoperative heart rate changes | just before surgery start, one minute after incision, maximum value during surgery | heart rate during surgery |
| intraoperative respiratory rate changes | just before surgery start, one minute after incision, maximum value during surgery | respiratory rate during surgery |
Countries
Japan
Outcome results
None listed