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Propose to comparison effectiveness of blind local anesthetic infiltration with ultrasound guided Transversals Fascia Block and Spinal Anesthesia in patients undergoing to inguinal hernia repair surgery. The effectiveness is defined as pain control during intraoperative and time need to reach hospital discharge criteria in the post-operative period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Blind Local Anesthetic Infiltration | Active Comparator |
| |
| Transversals Fascia Block | Active Comparator |
| |
| Spinal Anesthesia | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blind Local Anesthetic infiltration | Procedure | Patients of this group received blind local anesthetic infiltration on surgical site. Local anesthetic infiltration are performed by surgeon. |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital discharge | Time need to reach hospital discharge criteria in post-operative period | First 6 post-operative hours |
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative Pain Control | Need of addiction local anesthetic or endovascular anesthetic to performed surgery | Intraoperative period |
| Post-operative Pain | NRS score in post-operative period |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Erika Basso Ricci, M.D. | Contact | +3903724050 | e.bassoricci@asst-cremona.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ASST Cremona | Creom | Cremona | 26100 | Italy |
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| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000775 | Anesthesia, Spinal |
| D000077212 | Ropivacaine |
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
| D000813 | Anilides |
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| Transversals Fascia Block | Procedure | Patients of this group received ultrasound guided omolateral Transversals Fascia Block. |
|
| Spinal Anesthesia | Procedure | Patients of this group received Spinal Anesthesia |
|
| Ropivacaine | Drug | Local anesthetic used for local infiltration and Transversals fascia block |
|
| Bupivacaine | Drug | Local anesthetic used for Spinal Anesthesia |
|
| Post-operative period for 6 hours, every 30 min |
| Side effects | Incidence of side effects | intra-operative and post-operative period (6 hours) |
| Chronic Pain | Incidence of chronic post-operative pain | at 1 week and 3 months in post-operative period |
| D000577 |
| Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |