Comparison the Analgesic Efficacy of Ultrasonographic Bilateral TAP and Anesthetic Infiltration Into the Surgery Field for Laparoscopic Unilateral TEP Herniorrhaphy
Trial Parameters
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Brief Summary
Laparoscopic inguinal hernia repair is a common surgical procedure, but postoperative pain management remains a challenge. This prospective, randomized study aims to compare the analgesic efficacy of preperitoneal and surgical site anesthetic infiltration with ultrasound-guided bilateral transversus abdominis plane (TAP) block in patients undergoing laparoscopic unilateral total extraperitoneal (TEP) herniorrhaphy. Sixty patients will be randomly allocated into two groups: Group-I will receive preperitoneal and surgical site infiltration with bupivacaine, while Group-II will receive ultrasound-guided bilateral TAP block with bupivacaine. The primary outcomes will be postoperative pain scores assessed using the visual analog scale (VAS) and additional analgesic requirements. Secondary outcomes will include postoperative hospital stay duration and cost-effectiveness. Demographic data, ASA scores, comorbidities, and operation times will be recorded. Postoperative pain will be managed with a multimodal approach, including paracetamol and NSAIDs. Rescue analgesia will be provided with intravenous paracetamol. Statistical analysis will be performed using t-tests, ANOVA, Wilcoxon-Mann-Whitney tests, and chi-square tests, as appropriate. This study aims to determine the optimal and most beneficial method for postoperative pain management and patient comfort following laparoscopic inguinal hernia repair.
Eligibility Criteria
Inclusion Criteria: * Consenting patients, * She will undergo laparoscopic hernia repair surgery, * ASA-I-II, * Between the ages of 18 and 65, * No history of anticoagulant or antiaggregant drug use, * Regional anesthesia is not contraindicated and the anesthesiologist deems -appropriate for regional anesthesia, * Under general anesthesia and will undergo laparoscopic surgery, * Fully oriented and cooperative, * Unilateral inguinal hernia, * No previous surgery for inguinal hernia, * No incision in the lower abdomen, * Not using alcohol and drugs, * No preoperative pain and * Patients without symptoms of strangulated hernia will be included in the study. Exclusion Criteria: * Patients without consent * Regional anesthesia is contraindicated, * Those who will undergo open abdominal surgery, * Not in the appropriate age range, * Chronic diseases such as uncontrolled DM and HT, * Drug allergy, * Taking anticoagulant or antiaggregant drugs, * History of chronic analgesic use, * Presence of