[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"herniorrhaphy\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:herniorrhaphy":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,50],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":33,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":49},"100584827","comparison-the-analgesic-efficacy-of-ultrasonographic-bilateral-tap-and-anesthetic-infiltration-into-the-surgery-field-for-laparoscopic-unilateral-tep-herniorrhaphy-100584827",false,"NCT06894420","Comparison the Analgesic Efficacy of Ultrasonographic Bilateral TAP and Anesthetic Infiltration Into the Surgery Field for Laparoscopic Unilateral TEP Herniorrhaphy","Comparison of Postoperative Analgesic Efficacy of Ultrasonographic Bilateral TAP (Transversus Abdominis Plane) Block and Anesthetic Infiltration Into Preperitoneal and the Surgical Field in Laparoscopic Unilateral TEP (Total Extraperitoneal) Herniorraphy","Inclusion Criteria:\n\n* Consenting patients,\n* She will undergo laparoscopic hernia repair surgery,\n* ASA-I-II,\n* Between the ages of 18 and 65,\n* No history of anticoagulant or antiaggregant drug use,\n* Regional anesthesia is not contraindicated and the anesthesiologist deems -appropriate for regional anesthesia,\n* Under general anesthesia and will undergo laparoscopic surgery,\n* Fully oriented and cooperative,\n* Unilateral inguinal hernia,\n* No previous surgery for inguinal hernia,\n* No incision in the lower abdomen,\n* Not using alcohol and drugs,\n* No preoperative pain and\n* Patients without symptoms of strangulated hernia will be included in the study.\n\nExclusion Criteria:\n\n* Patients without consent\n* Regional anesthesia is contraindicated,\n* Those who will undergo open abdominal surgery,\n* Not in the appropriate age range,\n* Chronic diseases such as uncontrolled DM and HT,\n* Drug allergy,\n* Taking anticoagulant or antiaggregant drugs,\n* History of chronic analgesic use,\n* Presence of active infection in the area to be blocked,\n* Will not be able to comply with postoperative pain \u002FVAS follow-up,\n* Patients with ASA-III-IV,\n* Patients with bilateral inguinal and scrotal hernias,\n* Patients who have been previously operated for inguinal hernia and have an incision in the lower abdomen,\n* Those with a history of alcohol and drug abuse\n* Preoperative pain and\n* Those with symptoms of strangulated hernia will not be included in this study.",true,"ALL","18 Years","65 Years",{"count":21,"type":22},60,"ESTIMATED","INTERVENTIONAL",[25],"NA","Laparoscopic inguinal hernia repair is a common surgical procedure, but postoperative pain management remains a challenge. This prospective, randomized study aims to compare the analgesic efficacy of preperitoneal and surgical site anesthetic infiltration with ultrasound-guided bilateral transversus abdominis plane (TAP) block in patients undergoing laparoscopic unilateral total extraperitoneal (TEP) herniorrhaphy. Sixty patients will be randomly allocated into two groups: Group-I will receive preperitoneal and surgical site infiltration with bupivacaine, while Group-II will receive ultrasound-guided bilateral TAP block with bupivacaine. The primary outcomes will be postoperative pain scores assessed using the visual analog scale (VAS) and additional analgesic requirements. Secondary outcomes will include postoperative hospital stay duration and cost-effectiveness. Demographic data, ASA scores, comorbidities, and operation times will be recorded. Postoperative pain will be managed with a multimodal approach, including paracetamol and NSAIDs. Rescue analgesia will be provided with intravenous paracetamol. Statistical analysis will be performed using t-tests, ANOVA, Wilcoxon-Mann-Whitney tests, and chi-square tests, as appropriate. This study aims to determine the optimal and most beneficial method for postoperative pain management and patient comfort following laparoscopic inguinal hernia repair.",[28,29,30,31,32],"Laparoscopic Surgery","Herniorrhaphy","Inguinal Hernia Unilateral","Transversus Abdominis Plane (TAP) Block","Postoperative Analgesia",[34,35,36,31],"Laparoscopic surgery","Inguinal hernia","postoperative analgesia","RECRUITING","2025-09-19",{"date":40,"type":41},"2025-09-24","ACTUAL",{"date":43,"type":41},"2025-09-04",{"date":45,"type":22},"2026-06-30",{"name":47,"class":48},"Başakşehir Çam & Sakura City Hospital","OTHER_GOV",1,{"id":51,"slug":52,"hasResults":11,"nctId":53,"briefTitle":54,"officialTitle":54,"acronym":4,"eligibilityCriteria":55,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":56,"targetDuration":4,"studyType":58,"phases":4,"briefSummary":59,"conditions":60,"keywords":61,"overallStatus":64,"whyStopped":4,"lastUpdateSubmitDate":65,"lastUpdatePostDateStruct":66,"startDateStruct":68,"completionDateStruct":70,"leadSponsor":72,"locationsCount":4},"100568693","effect-of-hipshoulder-width-ratio-on-sensory-blockade-after-intrathecal-anesthesia-for-adult-subumblical-herniorraphy-100568693","NCT06684548","Effect of Hip\u002FShoulder-Width Ratio on Sensory Blockade After Intrathecal Anesthesia for Adult Subumblical Herniorraphy","Inclusion Criteria:\n\n* Age 20 - 50 years old\n* Both sexes\n* Patients who are in risk-scoring groups I-II of the American Society of Anesthesiologists (ASA)\n* Elective subumblical herniorraphy under intrathecal anesthesia\n\nExclusion Criteria:\n\n* • Patient refusal\n\n  * Patients have a contraindication for regional anesthesia, e.g. coagulopathy.\n  * Failed or unsatisfactory intrathecal block.\n  * Patients have a central nervous system disease (mental retardation, non-cooperated speech disorder, or psychiatric disease).\n  * Patients who are under 150 cm or over 185 cm in height, or BMI \\>40.\n  * Patients have experienced an operation lasting more than 2 h.\n  * Patients with known hypersensitivity to amide local anesthetics.\n  * Local injection site infection or spinal deformity.",{"count":57,"type":22},72,"OBSERVATIONAL","Spinal anesthesia is a straightforward and reliable technique frequently employed in lower body surgeries, achieving adequate surgical conditions through the injection of a small amount of local anesthetic (LA) into the intrathecal space . One advantage of spinal anesthesia over general anesthesia is reduced exposure to potentially depressant drugs . However, inadequate spinal spread can result in pain and discomfort for patients and complicate surgical procedures . Consequently, anesthesiologists encounter the challenge of attaining the proper spread of spinal anesthesia for subumbilical herniorrhaphy due to individual anthropometric variations .\n\nApproximately 25 factors have been identified that affect the spread of spinal anesthesia in the subarachnoid space for a given dose of LA . Variables that are both practically obtainable and predictive of spinal anesthesia spread can aid anesthesiologists in anticipating the extent of the block. Among the most studied factors are patient characteristics, injection techniques, patient posture, and the baricity of the LA .\n\nResearch has examined various patient variables affecting spinal anesthesia spread, including age , weight , height , gender, patient position, BMI , vertebral column length (VCL), and abdominal circumference . Body morphometrics such as the hip-shoulder width ratio (HSWR) have garnered attention for their potential impact on the distribution of anesthetic agents within the intrathecal space . Despite the well-established influence of factors like age, weight, and spinal anatomy, the specific role of HSWR in the outcomes of intrathecal anesthesia remains underexplored this study aim to To evaluate the effect of hip\u002Fshoulder-width ratio (HSWR) on sensory blockade level after intrathecal anesthesia for adult patients undergoing subumblical herniorraphy",[29],[62,63],"hip\u002Fshoulder-width ratio","sub umblical herniorrhaphy","NOT_YET_RECRUITING","2024-11-09",{"date":67,"type":41},"2024-11-12",{"date":69,"type":22},"2025-12-01",{"date":71,"type":22},"2027-01-01",{"name":73,"class":74},"Assiut University","OTHER"]