Local or Regional or General Anesthesia for Hernia Repair: a Randomized Controlled Trial
NCT01845376 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 54
Last updated 2016-07-29
Summary
This present randomized trial is designed to evaluate the postoperative pain,inflammatory marker, postoperative analgesic medication, length of hospital stay and the modifications of inflammatory mediators in patients undergoing inguinal hernia repair using local, spinal or general anesthesia.
Conditions
- Hernia
- Anesthetics Adverse Reaction
- Inflammation
Interventions
- PROCEDURE
-
local anesthesia group
Patients will receive local anesthesia similar to that described by Amid et al. except that 1% lidocaine with adrenaline (1:200,000) will be used instead of a mixture of lidocaine and bupivacaine.
- PROCEDURE
-
spinal anesthesia group
Patients will be positioned in the lateral position and a Whitacre 25 G needle will be inserted at L3-4 intervertebral space and then heavy bupivacaine 0.5% 15 mg will be injected.
- PROCEDURE
-
general anesthesia group
Patients will be induced with propofol 2 mg/kg and fentanyl 1.5 µg /kg. They are then allowed to breathe spontaneously with sevoflurane 2% to 2.5% in a mixture of 60% oxygen through a laryngeal mask. End-tidal concentration of sevoflurane will be adjusted to keep end-tidal sevoflurane 1MAC. Supplemental doses of 25 µg of fentanyl will be administered if intraoperative heart rate and blood pressure are greater than 20% of baseline.
Sponsors & Collaborators
-
Mingkwan Wongyingsinn, MD
lead OTHER
Principal Investigators
-
Mingkwan Wongyingsinn, MD, MSc · Department of Anesthesiology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-04-30
- Primary Completion
- 2015-11-30
- Completion
- 2015-11-30
Countries
- Thailand
More Related Trials
-
Local Anesthetic Infiltration VS Trasversalis Fascia Block VS Spinal Anesthesia
NCT03128216 ·Status: UNKNOWN ·Phase: NA
-
Ilioinguinal Block in Laparoscopic Inguinal Hernia Repair
NCT01969006 ·Status: WITHDRAWN ·Phase: PHASE2
-
Quality of Recovery After General or Spinal Anesthesia for Inguinal Hernia Repair
NCT02696122 ·Status: COMPLETED ·Phase: NA
-
Trigger-point Blockade in Persistent Pain After Open Groin Hernia Repair
NCT02065219 ·Status: COMPLETED ·Phase: PHASE3
-
Open and Laparoscopic Total Extraperitoneal Repair Under Spinal Anesthesia Versus General Anesthesia
NCT05837013 ·Status: COMPLETED ·Phase: NA
-
Surgical Outcomes Following Neurectomy Based Upon Response to Local Anesthetic Injection in Chronic Groin Pain
NCT05386693 ·Status: TERMINATED
-
Ultrasound-guided Ilioinguinal-iliohypogastric Block for Inguinal Hernia Repair
NCT01326039 ·Status: UNKNOWN ·Phase: PHASE4
-
Ilioinguinal Nerve Block With Local Anesthetic vs. Placebo in Inguinal Hernia Repair Under Spinal Anesthesia
NCT07049835 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Ilioinguinal-iliohypogastric Nerve Block Prior to Shouldice Inguinal Hernia Repair
NCT06314815 ·Status: COMPLETED
-
Randomized Study of Open Mesh Repair in Local Anesthesia Versus Cost-optimized Laparoscopic Repair for Inguinal Hernia
NCT01020058 ·Status: COMPLETED ·Phase: NA
-
Pediatric Inguinal Hernia Repair: Are Muscle Relaxants Necessary? Endotracheal Intubation vs Laryngeal Mask Airway
NCT02696837 ·Status: COMPLETED ·Phase: NA
-
Comparison of Tracheal Intubation vs Laryngeal Mask Airway in Laparoscopic Total Extraperitoneal Hernia Repair
NCT04788771 ·Status: COMPLETED ·Phase: NA
-
Inguinal Hernia Management: Watchful Waiting vs. Tension-Free Open Repair
NCT01922674 ·Status: COMPLETED ·Phase: NA
-
Non-Op Management of Ventral Hernia Patients
NCT02457364 ·Status: UNKNOWN
-
Predictive Factors for the Effectiveness of the Ilioinguinal Iliohypogastric Nerve Block for Hernia Surgery
NCT06121726 ·Status: COMPLETED
-
Effect of Ultra-Sound Guided Pre-emptive Nerve Block on Post-operative Pain Following Open Inguinal Hernia Repair.
NCT04792164 ·Status: UNKNOWN ·Phase: NA
-
Trigger-point Blockade in Persistent Pain After Laparoscopical Groin Hernia Repair
NCT02065804 ·Status: COMPLETED ·Phase: PHASE3
-
Safety, Tolerability, PK, and Analgesic Effect of INL-001 in Children Following Open Inguinal Hernia Repair
NCT03262688 ·Status: UNKNOWN ·Phase: PHASE3
-
Anterior Transversalis Fascia Approach Versus Preperitoneal Space Approach for Inguinal Hernia Repair in Residents
NCT02984917 ·Status: UNKNOWN ·Phase: NA
-
Chronic Pain After Groin Hernia Surgery in Women
NCT04228536 ·Status: COMPLETED
-
To Compare the Skin Incision Made by the Electrocautery and Scalpel in Inguinal Hernia Repair
NCT05666973 ·Status: UNKNOWN ·Phase: NA
-
Early Surgeon Experience With Robotic-Assisted Inguinal Hernia Repair
NCT04353687 ·Status: ACTIVE_NOT_RECRUITING
-
The Efficacy of Transversus Abdominis Plane Block After Groin Hernia Repair
NCT01052285 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Local Anesthetic Infiltration and Different Fascial Plane Blocks in Inguinal Hernia Repair
NCT05847842 ·Status: COMPLETED ·Phase: NA
-
Paravertebral Blocks: Pilot Study to Compare Nerve Stimulation vs. Anatomic Landmarks in Inguinal Hernia Repair
NCT00587704 ·Status: COMPLETED ·Phase: NA