Inguinal Hernia
Conditions
Brief summary
This study evaluates the compare the effects of ultrasound guided TAP block, local anesthetic infiltration to the incision line and intravenous dexketoprofen on postoperative analgesic efficacy and rescue tramadol consumption in inguinal hernia repairs.
Detailed description
Currently, multimodal techniques are used in inguinal hernia repairs in addition to pharmacological and regional techniques for postoperative analgesia.TAP block is performed on the principle of hydrodissection of the fascia between the internal oblique and transversus abdominis muscles of the abdominal wall muscles with local anesthetic drugs. Local anesthetic drugs provide analgesic effect up to 24 hours in the postoperative period by blocking the T6-L1 nerves in the facial plane. Local anesthetic infiltration which is one of the regional anesthetic techniques, is another method of postoperative analgesia. intravenous analgesic drug is also used as pharmacological postoperative analgesia method in most clinics.
Interventions
OTHERTransversus abdominis plane block
Before surgery, Ultrasound-guided TAP block was performed preemptively to Group TAP patients.
Before surgery, Ultrasound-guided Local anesthetic infiltration to the surgical incision line was performed preemptively to Group Local patients.
OTHERIntravenous dexketoprofen
Before surgery, 50 mg intravenous dexketoprofen was performed preemptively to Group dexketoprofen patients.
Sponsors
Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Subject who aged 18-75 years * American Society of Anesthesiologist (ASA) I-III * Subject undergoing unilateral or bilateral inguinal hernia repair
Exclusion criteria
* Subject under 18 and over 75 years of age * ASA IV * History of allergy to agents * Analgesic drug use in the last 48 hours * Morbid obese (BMI\> 35) * Confusion * Coagulopathy * Local infection at the injection site * Subject with heart, lung, hematologic, metabolic and endocrine disease * Subject who did not want to be included in the study * Subject who refused the spinal anesthesia * Subject who failed the spinal anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative rescue tramadol consumption | 24 hours | The mean tramadol consumption in the first 24 post-operative hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic efficacy | 24 hours | Postoperative visual analog scale score recorded 0-10 (0 = no pain, 10 = severe pain) at 30. min, 1, 2, 4, 8, 12, 16 and 24 hours postoperatively |
| Postoperative nausea-vomiting | 24 hours | Postoperative nausea-vomiting was evaluated with a 3-point system (0: no nausea and vomiting, 1: nausea, but no vomiting, 2: nausea with or without nausea) 24 hours postoperatively. |
Countries
Turkey (Türkiye)
Outcome results
None listed