NCT07522853

M-TAPA vs OSTAP for Postoperative Analgesia in Laparoscopic Inguinal Hernia

Laparoscopic Inguinal Hernia Surgery Patients: Comparison of Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) and Oblique Subcostal TAP Block for Postoperative Analgesia

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 90 (actual)
• Sponsor: Dr. Lutfi Kirdar Kartal Training and Research Hospital · Other Government
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

This randomized controlled trial aims to compare the postoperative analgesic efficacy of M-TAPA block and OSTAP block in patients undergoing laparoscopic inguinal hernia repair. Pain scores, analgesic consumption, and patient satisfaction will be evaluated.

Detailed description

Prospective, randomized, single-blind, controlled study including 90 patients undergoing elective laparoscopic inguinal hernia repair. Patients will be randomized into three groups: M-TAPA, OSTAP, and control. Postoperative pain scores (VAS), analgesic consumption, time to first analgesic requirement, and patient satisfaction will be assessed over 24 hours.

Conditions

• Inguinal Hernia Bilateral
• Postoperative Pain

Interventions

Type	Name	Description
PROCEDURE	Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA)	Ultrasound-guided bilateral M-TAPA block performed with 20 mL of 0.25% bupivacaine per side
PROCEDURE	Oblique Subcostal Transversus Abdominis Plane Block (OSTAP)	Ultrasound-guided bilateral OSTAP block performed with 20 mL of 0.25% bupivacaine per side
OTHER	Standard Analgesia use (paracetamol, contramal)	Patients received standard postoperative analgesia without regional block

Timeline

• Start date: 2025-04-08
• Primary completion: 2025-09-20
• Completion: 2025-09-20
• First posted: 2026-04-13
• Last updated: 2026-04-13

Locations

1 site across 1 country: Turkey (Türkiye)