Dexmedetomidine in TAP Block for Inguinal Hernia Repair

  • STATUS
    Recruiting
  • participants needed
    60
  • sponsor
    Aretaieion University Hospital
Updated on 19 February 2024
anesthesia
local anesthetic
dexmedetomidine
analgesics
elective surgery
local anesthesia
local anesthetics
transversus abdominis plane block
inguinal hernia repair
general anesthesia
herniorrhaphy
repair of inguinal hernia

Summary

This prospective double-blind randomized study will aim at evaluating the short- and long-term postoperative analgesic efficacy of the ultrasound-guided transversus abdominis plane (TAP) block with a combination of local anesthetic and dexmedetomidine in inguinal hernia repair under general anesthesia

Description

Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide, especially in the day-case setting. It can be accompanied by moderate to severe postoperative pain, which can delay return to normal daily activities or lead to the development of chronic pain. Chronic pain after hernia repair has a reported prevalence ranging between 0% and 43% with both nociceptive and neuropathic features. The transversus abdominis plane (TAP) block is an effective regional anesthetic technique to reduce postoperative pain intensity, time to first rescue anesthetic administration and opioid demand after upper and lower abdominal surgery. Dexmedetomidine is a selective 2-adrenergic agonist with analgesic properties that has been shown to prolong local anesthetic action when used as an adjunct to local anesthetic solutions in neuraxial anesthesia. The aim of this prospective, double-blind placebo controlled randomized study will be to evaluate the analgesic efficacy of ultrasound-guided TAP block where local anesthetic is supplemented by dexmedetomidine in patients undergoing unilateral elective inguinal hernia repair with the Lichtenstein technique under general anesthesia.

Details
Condition Analgesia, INGUINAL HERNIA, Neuralgia, Pain, Acute, Pain, Chronic
Age 18years - 80years
Treatment local anesthetic and dexmedetomidine, local anesthetic and placebo
Clinical Study IdentifierNCT04403711
SponsorAretaieion University Hospital
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

American Society of Anesthesiologists (ASA) patients I-III undergoing inguinal hernia repair with a mesh
open hernia repair
elective surgery

Exclusion Criteria

inability to consent to the study due to language barriers or cognitive dysfunction -
bilateral inguinal hernia repair
body mass index over 40 kg m-2
skin infection at the puncture site
contraindication to paracetamol or non-steroidal anti-inflammatory drug (NSAIDs) administration
known previous hepatic or renal impairment as assessed by the patients' history and routine biochemical markers
coagulation abnormalities
history of gastroesophageal reflux and preoperative use of opioids or NSAIDs for chronic pain conditions
reoperation of recurrent inguinal hernia after previous mesh repair
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