[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100613293":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":27,"centralContacts":32,"locations":38,"responsibleParty":56,"collaborators":18,"id":59,"slug":60,"hasResults":61,"nctId":62,"briefTitle":63,"officialTitle":64,"acronym":65,"eligibilityCriteria":66,"healthyVolunteers":61,"sex":67,"minAge":68,"maxAge":69,"enrollmentInfo":70,"targetDuration":18,"studyType":73,"phases":74,"briefSummary":76,"conditions":77,"keywords":81,"overallStatus":41,"whyStopped":18,"lastUpdateSubmitDate":88,"lastUpdatePostDateStruct":89,"startDateStruct":92,"completionDateStruct":94,"leadSponsor":96,"locationsCount":97},{"fullName":5,"class":6},"University of Warmia and Mazury in Olsztyn","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"TAP Block Group (Laparoscopic TAP Block with Bupivacaine)","EXPERIMENTAL","After pneumoperitoneum is established and the laparoscope is introduced, a bilateral Transversus Abdominis Plane (TAP) block is performed under direct laparoscopic vision. Using a needle and syringe, 20 ml of 0.25% bupivacaine is injected on each side, approximately 2 cm below the costal margin in the anterior axillary line. The correct placement of the local anesthetic is confirmed by the visible \"Doyle's bulge sign.\" Patients receive standard general anesthesia and postoperative pain management identical to the control group.",[13],"Procedure: Laparoscopic Transversus Abdominis Plane (TAP) Block with Bupivacaine",{"label":15,"type":16,"description":17,"interventionNames":18},"Control Group (No Regional Anesthesia - Standard Care)","NO_INTERVENTION","Participants undergo standard laparoscopic inguinal hernia repair using the transabdominal preperitoneal (TAPP) technique without performing a TAP block or any other regional anesthesia. All patients receive the same standardized general anesthesia protocol and postoperative analgesic regimen as those in the experimental group.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Laparoscopic Transversus Abdominis Plane (TAP) Block with Bupivacaine","A bilateral Transversus Abdominis Plane (TAP) block is performed under direct laparoscopic vision after pneumoperitoneum is established. Using a needle and syringe, 20 ml of 0.25% bupivacaine is injected on each side, approximately 2 cm below the costal margin in the anterior axillary line. The correct spread of the local anesthetic is confirmed visually by observing the characteristic \"Doyle's bulge sign.\" The procedure is performed before mesh placement during TAPP hernia repair. This technique allows direct visualization of the injection plane, increasing precision and safety compared with ultrasound-guided TAP blocks.",[9],[26],"TAPP with TAP Block",[28],{"name":29,"affiliation":30,"role":31},"Marek Kowalczyk, PhD, MD","Clinic of Oncological and General Surgery, University Clinical Hospital in Olsztyn, Olsztyn, Poland","PRINCIPAL_INVESTIGATOR",[33],{"name":34,"role":35,"phone":36,"phoneExt":18,"email":37},"Łukasz Dyśko, MD","CONTACT","+48895245341","lukaszdysko@gmail.com",[39],{"facility":40,"status":41,"city":42,"state":43,"zip":44,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":53},"University Clinical Hospital in Olsztyn, Department of General and Oncological Surgery","RECRUITING","Olsztyn","Warmisko-mazurskie","10-041","Poland","PL",{"type":48,"coordinates":49},"Point",[50,51],20.49272,53.78376,{"lat":51,"lon":50},[54],{"name":29,"role":35,"phone":36,"phoneExt":18,"email":55},"makarek2009@wp.pl",{"type":31,"investigatorFullName":57,"investigatorTitle":58,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Łukasz Dyśko","Principal Investigator","100613293","visually-guided-tap-block-in-laparoscopic-tapp-hernia-repair-100613293",false,"NCT07264699","Visually Guided TAP Block in Laparoscopic TAPP Hernia Repair","Efficacy of Visually Guided Transversus Abdominis Plane (TAP) Block in Recovery After Laparoscopic Inguinal Hernia Repair (TAPP - Transabdominal Preperitoneal)","VIS-TAP-TAPP","Inclusion Criteria:\n\n* Age 18-80 years\n* Elective laparoscopic inguinal hernia repair using the TAPP (Transabdominal Preperitoneal) technique\n* ASA physical status I-III\n* Ability to provide written informed consent\n* No contraindications to regional anesthesia or local anesthetic administration\n\nExclusion Criteria:\n\n* Recurrent or strangulated inguinal hernia\n* Emergency surgery\n* Chronic pain syndromes or preoperative opioid use\n* Known allergy or hypersensitivity to local anesthetics (bupivacaine or similar)\n* Severe hepatic or renal impairment\n* Psychiatric disorders or inability to provide informed consent\n* Conversion to open surgery during the procedure\n* Technical difficulties preventing TAP block administration","ALL","18 Years","80 Years",{"count":71,"type":72},100,"ESTIMATED","INTERVENTIONAL",[75],"NA","This prospective, randomized clinical study aims to evaluate the effectiveness of the Transversus Abdominis Plane (TAP) block performed under direct laparoscopic vision in reducing postoperative pain and improving recovery after laparoscopic inguinal hernia repair using the TAPP (Transabdominal Preperitoneal) technique.\n\nThe study will enroll 100 adult patients undergoing elective laparoscopic TAPP hernia repair at the University Clinical Hospital in Olsztyn, Poland. Participants will be randomly assigned to two equal groups. In the study group, a bilateral TAP block will be performed under direct vision using 20 ml of 0.25% bupivacaine on each side after establishing pneumoperitoneum. The control group will undergo the same surgical procedure without the TAP block.\n\nAll patients will receive standardized anesthesia and postoperative pain management according to hospital protocol. Postoperative pain intensity will be assessed using the Visual Analogue Scale (VAS) at 0, 6, and 12 hours after surgery. Additional data, such as time to mobilization, use of rescue analgesics, and occurrence of postoperative complications (hematoma, swelling, subcutaneous emphysema, transient muscle weakness), will also be recorded.\n\nThe primary goal of this study is to determine whether a laparoscopically guided TAP block can effectively reduce postoperative pain and improve recovery parameters following TAPP hernia repair. The results may help establish a simple, safe, and reproducible method of multimodal analgesia in minimally invasive inguinal hernia surgery.",[78,79,80],"Inguinal Hernia Repair","Postoperative Pain","TAP Block",[82,83,84,85,86,87],"Inguinal hernia","TAPP","Laparoscopic hernia repair","TAP block","Transversus abdominis plane block","Multimodal analgesia","2026-03-15",{"date":90,"type":91},"2026-03-17","ACTUAL",{"date":93,"type":91},"2025-12-04",{"date":95,"type":72},"2027-03",{"name":5,"class":6},1]