[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100618118":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":10,"centralContacts":10,"locations":28,"responsibleParty":48,"collaborators":10,"id":52,"slug":53,"hasResults":54,"nctId":55,"briefTitle":56,"officialTitle":57,"acronym":10,"eligibilityCriteria":58,"healthyVolunteers":54,"sex":59,"minAge":60,"maxAge":61,"enrollmentInfo":62,"targetDuration":65,"studyType":66,"phases":10,"briefSummary":67,"conditions":68,"keywords":71,"overallStatus":31,"whyStopped":10,"lastUpdateSubmitDate":75,"lastUpdatePostDateStruct":76,"startDateStruct":79,"completionDateStruct":81,"leadSponsor":83,"locationsCount":84},{"fullName":5,"class":6},"Sakarya University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Group Transversus Abdominis Plane Block",null,"Patients in this group will undergo umbilical hernia surgery under general anesthesia. Following completion of the surgical procedure, postoperative analgesia will be provided using an ultrasound-guided transversus abdominis plane (TAP) block, performed according to routine clinical practice. The TAP block will be administered by an experienced anesthesiologist using standard techniques and local anesthetic agents. No additional interventions or investigational medications will be applied as part of the study.\n\nPostoperative pain intensity will be assessed using the Visual Analog Scale (VAS) at admission to and discharge from the post-anesthesia care unit, as well as at the 1st, 6th, 12th, and 24th postoperative hours. Rescue analgesia will be administered based on routine institutional protocols according to patient-reported pain scores.",[13],"Other: Ultrasound-Guided Transversus Abdominis Plane Block",{"label":15,"type":10,"description":16,"interventionNames":17},"Group Single Dose Epidural Anesthesia","Patients in this group will undergo umbilical hernia surgery under single-dose epidural anesthesia administered as part of routine clinical practice. The epidural technique will be performed by an experienced anesthesiologist using standard institutional protocols. The single-dose epidural injection will be used to provide both intraoperative anesthesia and postoperative analgesia. No additional interventions or investigational medications will be administered for the purpose of this study.\n\nPostoperative pain intensity will be evaluated using the Visual Analog Scale (VAS) at admission to and discharge from the post-anesthesia care unit, as well as at the 1st, 6th, 12th, and 24th postoperative hours. Rescue analgesic treatment will be provided according to routine postoperative pain management protocols based on patient-reported pain scores.",[18],"Other: Single-Dose Epidural Anesthesia",[20,24],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":10},"Ultrasound-Guided Transversus Abdominis Plane Block","Ultrasound-guided transversus abdominis plane (TAP) block is performed as part of routine postoperative analgesia following general anesthesia in patients undergoing umbilical hernia surgery. The procedure is administered by an experienced anesthesiologist using standard institutional practice. No additional procedures or medications are applied specifically for the purpose of this observational study.",[9],{"type":6,"name":25,"description":26,"armGroupLabels":27,"otherNames":10},"Single-Dose Epidural Anesthesia","Single-dose epidural anesthesia is administered as part of routine clinical practice to provide intraoperative anesthesia and postoperative analgesia in patients undergoing umbilical hernia surgery. The technique is performed by an experienced anesthesiologist according to standard institutional protocols. No investigational interventions or study-specific modifications are implemented.",[15],[29],{"facility":30,"status":31,"city":32,"state":33,"zip":34,"country":35,"countryCode":10,"cosmosGeoPoint":36,"geoPoint":41,"contacts":42},"Sakarya University-Anesthesiology and Reanimation Department","RECRUITING","Sakarya","Serdivan","54100","Turkey (Türkiye)",{"type":37,"coordinates":38},"Point",[39,40],32.07583,39.50333,{"lat":40,"lon":39},[43],{"name":44,"role":45,"phone":46,"phoneExt":10,"email":47},"Burçin alaçam","CONTACT","+905465903851","burcin.ersoy90@gmail.com",{"type":49,"investigatorFullName":50,"investigatorTitle":51,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"PRINCIPAL_INVESTIGATOR","Burçin Alaçam, MD","Anesthesiology Specialist","100618118","ultrasound-guided-transversus-abdominis-plane-block-versus-epidural-block-for-umbilical-hernia-analgesia-100618118",false,"NCT07327463","Ultrasound-Guided Transversus Abdominis Plane Block Versus Epidural Block for Umbilical Hernia Analgesia","Comparison of the Analgesic Efficacy of Ultrasound-guided Transversus Abdominis Plane Block and Single-dose Epidural Block in Patients Undergoing Umbilical Hernia Surgery.","Inclusion Criteria:\n\n* Patients aged 18 to 65 years\n* Patients scheduled for elective umbilical hernia surgery\n* ASA physical status I or II\n* Patients who undergo surgery under either: Single-dose epidural anesthesia, or general anesthesia with postoperative ultrasound-guided transversus abdominis plane (TAP) block, as part of routine clinical practice\n* Ability to understand and use the Visual Analog Scale (VAS)\n* Provision of written informed consent\n\nExclusion Criteria:\n\n* ASA physical status III or higher\n* Known allergy or contraindication to local anesthetic agents\n* Coagulopathy or ongoing anticoagulant\u002Fantiplatelet therapy contraindicating regional anesthesia\n* Infection at the site of epidural or TAP block application\n* History of chronic pain, long-term opioid use, or chronic analgesic consumption\n* Neurological disorders affecting pain perception or assessment\n* Severe hepatic or renal disease\n* Pregnancy or lactation\n* Inability to cooperate with postoperative pain assessment or inability to use VAS\n* Emergency surgery","ALL","18 Years","65 Years",{"count":63,"type":64},30,"ESTIMATED","1 Day","OBSERVATIONAL","This observational study aims to compare the postoperative analgesic effectiveness of ultrasound-guided transversus abdominis plane (TAP) block and single-dose epidural anesthesia in patients undergoing umbilical hernia surgery. Pain intensity will be assessed using the Visual Analog Scale (VAS) at predefined postoperative time points. The study seeks to determine which analgesic approach provides superior pain control and patient satisfaction in the postoperative period.",[69,70],"Umbilical Hernia","Postoperative Pain Management",[72,73,70,74],"Single-Dose Epidural Analgesia","Transversus Abdominis Plane Block","Umbilical Hernia Surgery","2026-06-23",{"date":77,"type":78},"2026-06-24","ACTUAL",{"date":80,"type":78},"2026-01-15",{"date":82,"type":64},"2026-06-20",{"name":5,"class":6},1]