NCT06098105

Laparoscopic vs Ultrasound-Guided Transversus Abdominis Plane Block vs Laparoscopic Intraperitoneal Instillation of Local Anesthetic in Pediatrics

Laparoscopic vs Ultrasound-Guided Transversus Abdominis Plane Block vs Laparoscopic Intraperitoneal Instillation of Local Anesthetic in Pediatrics Undergoing Inguinal Hernia Repair: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 66 (actual)
• Sponsor: Tanta University · Academic / Other
• Sex: All
• Age: 2 Months – 7 Years
• Healthy volunteers: Not accepted

Summary

The aim of this study is to compare laparoscopic -assisted, ultrasound-guided transversus abdominis plane block and laparoscopic intraperitoneal instillation of local anesthetic in pediatrics undergoing inguinal hernia repair.

Detailed description

Inguinal hernia is one of the most common pediatric surgeries. Effective and safe pain management causes fewer side effects and enables faster hospital discharge. It is also important in overcoming chronic pain in the late postoperative period. Transversus abdominis plane block (TAPB) has emerged as a safe, simple, and inexpensive modality incorporated into many enhanced recovery pathways to achieve narcotic-sparing analgesia after bariatric surgery. TAPB was first performed through the lumbar triangle of Petit in 2001. Since that time, both ultrasound-guided (US) and laparoscopic (LAP) TAPBs have been developed to aid in proper identification of the correct plane and minimize peritoneal penetration.

Conditions

• Laparoscopic
• Ultrasound
• Transversus Abdominis Plane Block
• Laparoscopic Intraperitoneal Instillation
• Pediatrics
• Inguinal Hernia Repair

Interventions

Type	Name	Description
PROCEDURE	Ultrasound-guided transversus abdominis plane block	This group will receive ultrasound-guided transversus abdominis plane block by using 1 ml/kg of bupivacaine 0.25% with a maximum volume of 20 mL as a control group.
PROCEDURE	Laparoscopic-assisted transversus abdominis plane block	Patients will receive laparoscopic-assisted transversus abdominis plane block by using 1 ml/kg of bupivacaine 0.25% with a maximum volume of 20 mL.
PROCEDURE	Laparoscopic-assisted intraperitoneal instillation	This group will receive laparoscopic-assisted intraperitoneal instillation by using 1 ml/kg of bupivacaine 0.25% with a maximum volume of 20 mL will be instilled into the peritoneal cavity immediately after gas insufflation.
DRUG	Bupivacaine	bupivacaine

Timeline

• Start date: 2023-10-24
• Primary completion: 2024-04-21
• Completion: 2024-04-21
• First posted: 2023-10-24
• Last updated: 2024-04-25

Locations

1 site across 1 country: Egypt