Evaluating Pain Outcomes of Caudal vs Ilioinguinal Nerve Block in Children Undergoing Orchiopexy Repair

Summary

Surgical intervention to treat undescended testis is a very common pediatric surgical procedure, often performed using an inguinal incision or subscrotal incision approach. Children who undergo orchiopexy can suffer from a significant degree of discomfort postoperatively. The investigators are evaluating the effectiveness of an ultrasound guided caudal-epidural (CE) block to an US guided ilioinguinal/iliohypogastric (IIG/IHG) nerve block in achieving post operative analgesia following a orchiopexy repair. It is hypothesized that US guided IIG/IHG nerve block leads to more effective pain control post-operatively while in hospital relative to an US guided CE block for orchiopexy surgery.

Conditions

• Testicle Undescended
• Pain, Postoperative

Interventions

PROCEDURE

Ilioinguinal/iliohypogastric nerve block

See arm description

PROCEDURE

Caudal-epidural nerve block

See arm description

DRUG

Acetaminophen

See arm description

DRUG

Sevoflurane

See arm description

DRUG

Remifentanil

See arm description

DRUG

Propofol

See arm description

DRUG

Morphine

See arm description

DRUG

Ondansetron

See arm description

DRUG

Dexamethasone

See arm description

DRUG

Ketorolac

See arm description

DRUG

Ropivacaine

See arm description

Sponsors & Collaborators

• Alberta Children's Hospital

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

6 Months

Max Age

4 Years

Sex

MALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2015-09-01

Primary Completion

2019-01-01

Completion

2019-01-01

Countries

• Canada

Study Locations