[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100611303":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":26,"centralContacts":31,"locations":23,"responsibleParty":36,"collaborators":40,"id":44,"slug":45,"hasResults":46,"nctId":47,"briefTitle":48,"officialTitle":49,"acronym":50,"eligibilityCriteria":51,"healthyVolunteers":46,"sex":52,"minAge":53,"maxAge":54,"enrollmentInfo":55,"targetDuration":23,"studyType":58,"phases":59,"briefSummary":61,"conditions":62,"keywords":67,"overallStatus":72,"whyStopped":23,"lastUpdateSubmitDate":73,"lastUpdatePostDateStruct":74,"startDateStruct":77,"completionDateStruct":79,"leadSponsor":81,"locationsCount":23},{"fullName":5,"class":6},"Ondokuz Mayıs University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Ultrasound-Guided Transversalis Fascia Plane Block (TFPB)","ACTIVE_COMPARATOR","An ultrasound-guided Transversalis Fascia Plane Block will be performed by injecting a standardized volume and concentration of local anesthetic between the transversus abdominis muscle and the transversalis fascia. The block will be administered immediately after spinal anesthesia, prior to postoperative transfer. All other perioperative management and postoperative analgesia protocols will be identical to those in the comparison arm.",[13],"Procedure: Ultrasound-Guided Transversalis Fascia Plane Block (TFPB)",{"label":15,"type":10,"description":16,"interventionNames":17},"Surgical Wound Infiltration","At the end of surgery, the operating surgeon will infiltrate a standardized volume and concentration of local anesthetic into the relevant tissue layers of the surgical incision. The infiltration will be performed immediately after skin closure. Participants in this arm will receive the same spinal anesthesia and postoperative analgesia regimen as those in the TFPB group.",[18],"Procedure: Surgical Wound Infiltration",[20,24],{"type":21,"name":9,"description":11,"armGroupLabels":22,"otherNames":23},"PROCEDURE",[9],null,{"type":21,"name":15,"description":16,"armGroupLabels":25,"otherNames":23},[15],[27],{"name":28,"affiliation":29,"role":30},"İlke TAMDOGAN, Asst. Prof.","Giresun University Faculty of Medicine","PRINCIPAL_INVESTIGATOR",[32],{"name":28,"role":33,"phone":34,"phoneExt":23,"email":35},"CONTACT","+905062916678","drilkeipek@gmail.com",{"type":30,"investigatorFullName":37,"investigatorTitle":38,"investigatorAffiliation":39,"oldNameTitle":23,"oldOrganization":23},"Ilke Tamdogan","Assistant Professor","Giresun University",[41],{"name":42,"class":43},"Giresun Training and Research Hospital","UNKNOWN","100611303","transversalis-fascia-plane-block-versus-surgical-wound-infiltration-for-postoperative-analgesia-in-open-inguinal-hernia-repair-100611303",false,"NCT07238829","Transversalis Fascia Plane Block Versus Surgical Wound Infiltration for Postoperative Analgesia in Open Inguinal Hernia Repair","Analgesic Efficacy of Ultrasound-Guided Transversalis Fascia Plane Block Versus Surgical Wound Infiltration After Open Inguinal Hernia Surgery: A Randomized Controlled Trial","TFPB-WIN","Inclusion Criteria:\n\n* Age ≥ 18 years\n* Scheduled for elective unilateral open inguinal hernia repair\n* Planned anesthesia: spinal anesthesia\n* American Society of Anesthesiologists (ASA) physical status I-II\n* Able to understand the study procedures and provide written informed consent\n\nExclusion Criteria:\n\n* Body mass index (BMI) \\> 35 kg\u002Fm²\n* Known hypersensitivity to local anesthetics used in the study (e.g., bupivacaine) or to analgesic medications\n* Coagulopathy\n* Infection or hematoma at the planned block site\n* Significant systemic disease (such as chronic kidney disease, hepatic failure, chronic obstructive pulmonary disease, etc.)\n* History of chronic pain or long-term analgesic use\n* Inability to use the patient-controlled analgesia system\n* Presence of psychiatric disorders\n* Refusal to participate in the study.\n* Cases with a surgical duration shorter than 30 minutes or longer than 180 minutes were excluded.","ALL","18 Years","80 Years",{"count":56,"type":57},104,"ESTIMATED","INTERVENTIONAL",[60],"NA","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.\n\nThe key questions that this study aims to answer are:\n\nDoes TFPB reduce total intravenous opioid consumption within the first 24 postoperative hours compared with wound infiltration?\n\nDoes TFPB improve postoperative pain scores at rest and during movement compared with wound infiltration?\n\nDoes TFPB improve patient satisfaction, reduce the need for rescue analgesics, and enhance overall postoperative recovery quality?\n\nIf there is a comparison group:\n\nThe investigators will compare the effects of TFPB with wound infiltration to determine whether either technique provides superior postoperative analgesia and reduces opioid requirements.\n\nParticipants will be asked to:\n\nUndergo open inguinal hernia repair under spinal anesthesia.\n\nBe randomly assigned to one of two groups:\n\nTFPB Group: Receive an ultrasound-guided transversalis fascia plane block with local anesthetic.\n\nWound Infiltration Group: Receive local anesthetic infiltration performed by the surgeon along the incision line.\n\nPostoperatively:\n\nReport pain scores at defined intervals.\n\nReceive standardized IV analgesia with documentation of opioid consumption.\n\nAllow assessment of rescue analgesic requirement.\n\nBe monitored for adverse events and recovery outcomes.",[63,64,65,66],"Inguinal Hernia Unilateral","Postoperative Pain Management","Regional Anaesthesia","Transversalis Fascia Plane Block",[68,69,70,71],"transversalis fascia plane block","regional anaesthesia","inguinal hernia","analgesia","NOT_YET_RECRUITING","2026-06-20",{"date":75,"type":76},"2026-06-25","ACTUAL",{"date":78,"type":57},"2027-01-01",{"date":80,"type":57},"2027-04-01",{"name":5,"class":6}]