NCT06092073

Bilateral Recto-Intercostal Fascial Plane Block in Epigastric Hernia Repair

Efficacy and Safety of Bilateral Recto-Intercostal Fascial Plane Block on Perioperative Analgesia in Epigastric Hernia Repair : A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 40 (actual)
• Sponsor: Tanta University · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

The aim of this study is to evaluate the efficacy and safety bilateral recto-intercostal fascial plane block (RIFPB) in epigastric hernia.

Detailed description

Epigastric hernias are usually occult in obese patients, and their symptoms may mimic peptic ulcer or gallbladder disease . Hernia repair is associated with considerable postoperative pain. The recto-intercostal fascial plane block (RIFPB) is a new novel approach that was developed by Tulgar et al., 2023 who hypothesized that when we inject a local anesthetic into the interfacial plane just inferolateral to the xiphoid, between the rectus abdominis muscle and the 6-7th costal cartilages (hence, between the cartilages and the intercostal muscles between them), blockade of the anterior branches of the nerves passing through this area can be guaranteed.

Conditions

• Recto-intercostal Fascial Plane Block
• Epigastric Hernia
• Analgesia

Interventions

Type	Name	Description
PROCEDURE	recto-intercostal fascial plane block	Patients will receive bilateral recto-intercostal fascial plane block using 20 mL of bupivacaine 0.25% on each side.
DRUG	bupivacaine	bupivacaine 0.25%

Timeline

• Start date: 2023-10-21
• Primary completion: 2025-12-01
• Completion: 2025-12-01
• First posted: 2023-10-23
• Last updated: 2026-01-30

Locations

1 site across 1 country: Egypt