Comparison of the Analgesic Efficacy of Transversalis Fascia Plane Block and Posterior Quadratus Lumborum Block in Pediatric Patient Undergoing Orchiopexy: A Prospective Observational Study

Comparison of the Analgesic Efficacy of Posterior Quadratus Lumborum Block and Transversalis Fascia Plane Block in Children Undergoing Orchiopexy

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07286799

Enrollment

Registered

2025-12-16

Start date

2025-05-01

Completion date

2025-11-01

Last updated

2025-12-31

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

Conditions

Orchiopexy, Pain Management, Quadratus Lumborum Block, Transversalis Fascia Plane Block

Keywords

Transversalis fascia plane block, Quadratus lumborum block, Orchiopexy, Pain management

Brief summary

It was planned to compare the analgesic efficacy of the transversalis fascia plane block and the posterior quadratus lumborum block in children aged 1 to 7 years undergoing orchiopexy, by evaluating their FLACC scores and the time to first postoperative analgesic requirement.

Interventions

None listed

Study design

Observational model

OTHER

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

MALE

Age

1 Years to 7 Years

Healthy volunteers

Yes

Inclusion criteria

* Children aged 1 to 7 years with ASA physical status I-II undergoing unilateral orchiopexy surgery.

Exclusion criteria

* ASA physical status ≥ III * History of prematurity (gestational age \< 37 weeks) Known coagulation disorders or bleeding tendency * Infection, inflammation, or skin lesion at the injection site * Known neurological or neuromuscular diseases * Presence of significant cardiac or pulmonary disease (e.g., congenital heart disease, active asthma) * Hepatic or renal dysfunction * Known allergy or hypersensitivity to local anesthetics (e.g., bupivacaine, lidocaine) * Developmental delay or cognitive impairment that prevents accurate pain assessment * Use of additional regional analgesia techniques (e.g., caudal block) during surgery * Block failure or intraoperative complications requiring exclusion from protocol analysis * Lack of parental consent for participation in the study

Design outcomes

Primary

Measure	Time frame	Description
Time to First Analgesic Requirement After Surgery	First 24 hours postoperatively	The time elapsed from the end of surgery to the administration of the first rescue analgesic.

Secondary

Measure	Time frame	Description
FLACC Pain Scores at Specified Time Intervals	First 24 hours postoperatively	Pain assessment using the Face, Legs, Activity, Cry, Consolability (FLACC) scale (score range: 0-10; higher scores indicate worse pain) at 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours, and 24 hours postoperatively.

Countries

Turkey (Türkiye)

Outcome results