TRANSVERSE ABDOMINAL PLANE BLOCK VS. ILIO-INGUINAL ILIO-HYPOGASTRIC BLOCK in PEDIATRIC INGUINAL SURGERY

NCT06701162 | Completed

• 1 other identifier: 012020
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The ilio-inguinal ilio-hypogastric (IIIH) nerve block remains the gold standard analgesic technique after inguinal surgery in children. Transverse abdominal plane (TAP) block has been reported to provide effective analgesia after lower abdominal surgery in adults. The aim of our study was to compare the analgesic effect of ultrasound-guided TAP block to IIIH nerve block after inguinal surgery in children.

Conditions

Analgesia; Ultrasound Guided Block

Keywords

Transverse abdominal plane bloc; pain; analgesia; ultrasound; children

Outcome Measures

Primary Outcomes (1)

• Quality of postoperative analgesia : PPMP score

  The quality of postoperative analgesia described by the pain score : Postoperative Pain Measure for Parents (PPMP) score, minimum value is 0 , maximum value 10 , a value higher than 6 indicates a major pain .

  24 h after surgery

Secondary Outcomes (2)

• Block execution time

  From the beginning of the practice of the block to the end

• Complications related to the techniques of nerve block

  Perioperative

Study Arms (2)

TAP group

OTHER

Uktrasound-guided TAP block

Procedure: Ultrasoud-guided TAP block

IIIH block

OTHER

Ultrasound-guided Ilio-inguinal Ilio-Hypogastric Block

Procedure: Ultrasound-guided Ilio-inguinal Ilio-Hypogatric block

Interventions

Ultrasoud-guided TAP block PROCEDURE

the ultrasound probe was placed at the mid-axillary line, and the needle was inserted into the space between the internal oblique and transverse muscles, splitting the inter-muscular fascia after injection of local anesthetic.

TAP group

Ultrasound-guided Ilio-inguinal Ilio-Hypogatric block PROCEDURE

the ultrasound probe was positioned transversely on the abdominal wall at the contact point of the anterosuperior iliac spine. The needle was inserted into the space between the internal oblique and transverse muscles, causing separation of the intermuscular fascia layers upon injection of the anesthetic mixture

IIIH block

Eligibility Criteria

• Age: 6 Months - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children aged 6 months to 12 years
• ASA physical status 1 or 2
• Scheduled for unilateral inguinal surgery

You may not qualify if:

• Children scheduled for bilateral surgery or associated procedures (e.g., circumcision)
• Parental refusal

Sponsors & Collaborators

• Tunis University: lead

Study Sites (1)

Bechir Hamza hospital

Tunis, Tunis Governorate, 2001, Tunisia

Location

MeSH Terms

Conditions

Agnosia; Pain

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of the Department of Anesthesiology and Critical Care

Model Details: The patients were randomly assigned into two groups to receive after a standardized induction of general anesthesia either an ultrasound-guided TAP block or IIIH block with bupivacaine 0.3 ml/kg.

Study Record Dates

• First Submitted: November 14, 2024
• First Posted: November 22, 2024
• Study Start: March 1, 2019
• Primary Completion: February 27, 2020
• Study Completion: February 27, 2020
• Last Updated: November 22, 2024

Record last verified: 2024-11

Locations

TU (1)