An interventional study of General Anesthesia Plus Transversus Abdominis Plane Block and Spinal Anesthesia in Transversus Abdominis Plane Block (TAP Block) and Laparoscopic Inguinal Hernia Repair, sponsored by Fatma Cigdem Ozakin. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-08.
Sponsored by Fatma Cigdem Ozakin · Not applicable, Interventional, and Supportive care
This prospective, randomized, double-blind clinical trial compares spinal anesthesia with general anesthesia combined with ultrasound-guided transversus abdominis plane (TAP) block in adult patients undergoing laparoscopic total extraperitoneal (TEP) inguinal hernia repair. Patients will be randomly assigned to one of two anesthesia groups. The primary outcome is postoperative pain assessed using the Visual Analog Scale (VAS) at 1 hour after surgery. Postoperative pain at additional time points, analgesic requirements, opioid consumption, and postoperative complications will also be evaluated.
5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.
This study's planned enrollment of 70 is close to the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.
Browse Pain, Postoperative studies →Fatma Cigdem Ozakin is the lead sponsor of 2 studies on the registry; 2 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria
Patients in this group will undergo laparoscopic total extraperitoneal (TEP) inguinal hernia repair under general anesthesia combined with an ultrasound-guided transversus abdominis plane (TAP) block.
Procedure: General Anesthesia Plus Transversus Abdominis Plane Block
Patients in this group will undergo laparoscopic total extraperitoneal (TEP) inguinal hernia repair under spinal anesthesia.
Procedure: Spinal Anesthesia
General anesthesia will be administered according to the institutional standard protocol. Following induction of general anesthesia and before the surgical procedure, an ultrasound-guided TAP block will be performed under sterile conditions using a linear ultrasound probe. The fascial plane between the internal oblique and transversus abdominis muscles will be identified and local anesthetic will be administered according to the study protocol.
Spinal anesthesia will be performed in the sitting position using a 25-gauge Quincke spinal needle after sterile preparation. Hyperbaric bupivacaine 0.5% (15 mg) with preservative-free fentanyl (10 µg) will be administered intrathecally according to the study protocol. Conscious sedation will be provided with midazolam, fentanyl, and propofol as required.
Postoperative Pain at 1 Hour
Postoperative pain intensity assessed using the Visual Analog Scale (VAS).
Time frame: 1 hour after surgery
Postoperative Pain at 4, 8, and 12 Hours
Postoperative pain intensity assessed using the Visual Analog Scale (VAS).
Time frame: 4, 8, and 12 hours after surgery
Postoperative Seroma
Presence of postoperative seroma.
Time frame: Within the first 24 hours after surgery
Plan to share: Undecided
No publications or documents are linked to this record.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
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Fatma Cigdem Ozakin