Chronic Post-surgical Pain
Conditions
Brief summary
the study will evaluate the effect of transversus abdominis plane block (TAP) on chronic post-groin surgeries orchalgia (chronic testicular pain)
Interventions
PROCEDURETAP block
Whilst the patient is in the supine position, a high frequency ultrasound probe (10 MH) is placed transverse to the abdominal wall between the costal margin and iliac crest. The needle is introduced in plane of the ultrasound probe directly under the probe and advanced until it reaches the plane between the internal oblique and transversus abdominis muscles. Upon reaching the plane, 2 ml of saline is injected to confirm correct needle position after which 20 ml of levobupivacaine, 25% plus triamcinolone, 80 mg solution is injected for TAP group and 20 ml of saline only is injected for SHAM group.. The transversus abdominis plane is visualized expanding with the injection ( appears as a hypoechoic space)
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
MALE
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* The inclusion criteria were patients with chronic scrotal pain (orchialgia) that fulfilled the following criteria: 1. pain intensity ≥ 5 on the visual analog scale (VAS), 2. pain that lasted for more than 3 months after groin surgeries, 3. failed conservative treatment with nonsteroidal anti-inflammatory drugs (NSAIDs)
Exclusion criteria
* The
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The change of intensity of pain measured by Visual Analogue Pain (VAS ) score | The pain assessment will be done one month, 2 month and 3 month postprocedure. | The Visual Analogue Pain (VAS) scale is a tool for intensity of pain scored from 0 to 10, where 0 = no pain and 10 = the worst pain imaginable |
Countries
Egypt
Outcome results
None listed