Digestive System Surgery Anaesthesia
Conditions
Interventions
Standard surgical procedure without intracrural infiltration
Intracrural local anesthetic infiltration
Sponsors
Ain Shams University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adult patients aged 18 years or older Patients scheduled for elective laparoscopic hiatal hernia repair Patients with ASA physical status I–III according to the American Society of Anesthesiologists Patients with confirmed diagnosis of hiatal hernia by upper gastrointestinal endoscopy and contrast radiologic assessment (barium swallow) Patients suitable for primary posterior cruroplasty without mesh reinforcement Patients providing written informed consent
Exclusion criteria
Exclusion criteria: Emergency surgery Previous hiatal surgery Patients requiring mesh reinforcement for hiatal repair Concomitant bariatric procedures Chronic opioid use Known allergy to local anesthetics Severe hepatic impairment Pregnancy Conversion to open surgery Patients who declined to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total opioid consumption (nalbuphine) during the first 24 postoperative hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain score at rest measured using the Numeric Rating Scale (NRS);Postoperative pain score during deep inspiration measured using the Numeric Rating Scale (NRS);Time to first ambulation;Time to oral intake;Length of hospital stay;Postoperative nausea and vomiting;Shoulder tip pain;Thirty-day postoperative complications | — |
Countries
Egypt
Contacts
Public ContactGamal Abdalla
Lecturer of General surgery department of surgery Ain shams university
Outcome results
None listed