Transversalis Fascia Plane Block for Laparoscopic Inguinal Hernia Repair

Phase

N/A

Condition

Hernia

Treatment

Port Site Infiltration

Transversalis Fascia Plane Block

Post Operative Pain Management

Clinical Study ID

NCT06778629

Medipol Hospital 5

Ages 18-65
All Genders

Study Summary

Transversalis Fascia Plane Block (TFPB) is a trunk block that blocks the T12- L2 spinal nerves by injection of local anesthetic between the transversus abdominis muscle and transversalis fascia on the lateral abdominal wall. The block's positive effects on postoperative analgesia have been shown in many abdominal surgeries, including open-technique inguinal hernia repair.

This study aimed to investigate the effectiveness of ultrasound (US) guided TFPB on postoperative pain control for postoperative analgesia management after laparoscopic inguinal hernia repair.

Eligibility Criteria

Inclusion

Inclusion Criteria:

American Society of Anesthesiologists (ASA) classification I- II Patients
Unilateral Inguinal Hernia Repair Surgery
Elective Operations

Exclusion

Exclusion Criteria:

Patients with a history of chronic pain
Evidence of infection in the intervention area
Allergy to local anesthetics
Coagulopathy
Body-mass index (BMI) ≥ 30
Body weight ≤ 50 kg
Patients who do not agree to participate in the study

Study Design

Port Site Infiltration

February 14, 2025

December 15, 2025

Study Description

Inguinal hernia repairs are one of the most common general surgical operations and are generally performed with laparoscopic technique. Even laparoscopic inguinal hernia repair results in less acute postoperative pain compared to the open technique, untreated early pain may prolong hospital stay, exacerbate general discomfort, and affect the length of recovery, which may also have social and -economic implications. Opioids, due to their potent analgesic effects are used as a component of multimodal analgesia in the postoperative period. Despite their advantages, opioids may be related to pulmonary complications, postoperative delayed recovery due to ileus, nausea, and vomiting; and prolonged hospital stay. The use of interfascial plane blocks for pain management has increased recently, as ultrasonography (USG) has become a part of daily routine. Interfascial plane blocks provide effective postoperative analgesia.

Transversalis Fascia Plane Block (TFPB) is a body block that blocks the T12-L2 spinal nerves by injection of local anesthetic between the transversus abdominis muscle and transversalis fascia on the lateral abdominal wall Its positive effects on postoperative analgesia have been shown in many abdominal surgeries, including open technique inguinal hernia repair.