M-Tapa vs OSTAP for Laparoscopic Inguinal Hernia Repair Surgery
Inguinal Hernia
About this trial
This is an interventional treatment trial for Inguinal Hernia focused on measuring Laparoscopic inguinal hernia repair, Postoperative pain management, Modified Perichondral Approach Thoracoabdominal Nerve (M-TAPA) block, Oblique Subcostal Transversus Abdominis Plane Block
Eligibility Criteria
Inclusion Criteria:
- American Society of Anesthesiologists (ASA) classification I-II
- Scheduled for laparoscopic inguinal hernia repair surgery under general anesthesia
Exclusion Criteria:
- Bleeding diathesis
- anticoagulant treatment
- local anesthetics and opioid allergy
- Infection of the skin at the site of the needle puncture
- Pregnancy or lactation
- Patients who do not accept the procedure
Sites / Locations
- Istanbul Medipol University Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Group M-TAPA = M-TAPA Block Group
Group OSTAP = OSTAP Block Group
Under aseptic conditions, a high-frequency linear probe will be placed on the costochondral angle in the sagittal plane. Then the probe will be slightly angled deeply to visualize the lower view of the perichondrium. We will perform M-TAPA with total of 60 ml (30 ml for each side) of %0,25 bupivacaine.
In the supine position, the transducer is placed in the subcostal region in an oblique plane, and a 15-20 cm needle is first inserted between the rectus abdominis and the transversus abdominis muscle and advanced towards the iliac crest in the interfascial plane. The block location will be confirmed with 5 ml of saline. After the block location is confirmed, a total of 30 ml + 30 ml of 0.25% bupivacaine (total of 60 ml for both sides) will be injected bilaterally.