Transversalis Fascia Plane Block Versus Surgical Wound Infiltration for Postoperative Analgesia i… (NCT07238829) | Clinical Trial Compass
Not Yet RecruitingNot Applicable
Transversalis Fascia Plane Block Versus Surgical Wound Infiltration for Postoperative Analgesia in Open Inguinal Hernia Repair
104 participantsStarted 2027-01-01
Plain-language summary
The purpose of this clinical trial is to evaluate whether two different analgesic techniques - ultrasound-guided Transversalis Fascia Plane Block (TFPB) and surgical wound infiltration - can improve postoperative pain control in adult patients undergoing open inguinal hernia repair.
The key questions that this study aims to answer are:
Does TFPB reduce total intravenous opioid consumption within the first 24 postoperative hours compared with wound infiltration?
Does TFPB improve postoperative pain scores at rest and during movement compared with wound infiltration?
Does TFPB improve patient satisfaction, reduce the need for rescue analgesics, and enhance overall postoperative recovery quality?
If there is a comparison group:
The investigators will compare the effects of TFPB with wound infiltration to determine whether either technique provides superior postoperative analgesia and reduces opioid requirements.
Participants will be asked to:
Undergo open inguinal hernia repair under spinal anesthesia.
Be randomly assigned to one of two groups:
TFPB Group: Receive an ultrasound-guided transversalis fascia plane block with local anesthetic.
Wound Infiltration Group: Receive local anesthetic infiltration performed by the surgeon along the incision line.
Postoperatively:
Report pain scores at defined intervals.
Receive standardized IV analgesia with documentation of opioid consumption.
Allow assessment of rescue analgesic requirement.
Be monitored for adverse events and recovery outcomes.
Who can participate
Age range
18 Years – 80 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Age ≥ 18 years
* Scheduled for elective unilateral open inguinal hernia repair
* Planned anesthesia: spinal anesthesia
* American Society of Anesthesiologists (ASA) physical status I-II
* Able to understand the study procedures and provide written informed consent
Exclusion Criteria:
* Body mass index (BMI) \> 35 kg/m²
* Known hypersensitivity to local anesthetics used in the study (e.g., bupivacaine) or to analgesic medications
* Coagulopathy
* Infection or hematoma at the planned block site
* Significant systemic disease (such as chronic kidney disease, hepatic failure, chronic obstructive pulmonary disease, etc.)
* History of chronic pain or long-term analgesic use
* Inability to use the patient-controlled analgesia system
* Presence of psychiatric disorders
* Refusal to participate in the study.
* Cases with a surgical duration shorter than 30 minutes or longer than 180 minutes were excluded.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Total opioid consumption within the first 24 postoperative hours