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In this study, the investigators compared ultrasound-guided transversalis fascia plane (TFP) block and transversus abdominis plane (TAP) block on postoperative analgesic effect in pediatric abdominal surgeries
After being informed about the study and potential risks, written consent was obtained from all patients. In order to effectively manage postoperative analgesia in patients planned for lower abdominal surgery (inguinal hernia and undescended testicles), patients will begin to be observed after routine anesthesia and block techniques applied to the patients. After these procedures, the block is applied to the patient using the appropriate method, under aseptic conditions and under ultrasound guidance. Intraoperative hemodynamic changes of the patients, intraoperative opioid consumption and bispectral index monitoring values of the patients will be kept throughout the peroperative period. Postoperative follow-ups will be made at 0nd, 1st, 2nd, 4th, 6th, 12th, and 24th hours to evaluate the initial analgesic consumption, need for analgesics types, pain levels, and parental satisfaction. In this way, it is aimed to compare the Transversalis Fascia Plan Block and Transversus Abdominis Plan Block as an effective analgesic application in lower abdominal surgery in children and to show the analgesic method that can be used effectively in postoperative pain management.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transversalis Fascia Plane Block | One-side ultrasound (US)-guided Transversalis fascia plane (TFP) block with 0.25% bupivacaine will performe after placement laryngeal mask airway before surgery. |
| |
| Transversus Abdominis Plane Block | One-side ultrasound (US)-guided Transversus abdominis plane (TAP) block with 0.25% bupivacaine will performe after placement laryngeal mask airway before surgery. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transversalis Fascia Plane Block | Other | One-side ultrasound (US)-guided Transversalis fascia plane (TFP) block with 0.25% bupivacaine will performe after placement laryngeal mask airway before surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain scores | Our primary aim to compare the effect of both blocks groups on the FLACC (Face, Legs, Activity, Cry, Consolability) pain scores at the 6th postoperative hour. FLACC pain scale, zero is designated as the lowest pain level, and ten as the highest pain level. | at the 6th postoperative hou |
| Measure | Description | Time Frame |
|---|---|---|
| Pain scores | Secondary objectives will include comparison of patient FLACC (Face, Legs, Activity, Cry, Consolability) pain scores in 24-hour observations of patients. FLACC pain scale, zero is designated as the lowest pain level, and ten as the highest pain level. | During postoperative 24 hours |
| Need for analgesic |
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Inclusion Criteria:
Exclusion Criteria:
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Patients aged between 1 and 7 years who will undergo abdominal surgery will be included in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Can Aksu | Kocaeli University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hasibe Irban | Kocaeli | 41000 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40188032 | Derived | Irban H, Aksu C. Comparison of the effectiveness of transversalis fascia plane block and transversus abdominis plane block for postoperative analgesia in pediatric lower abdominal surgeries: prospective, single blinded study. BMC Anesthesiol. 2025 Apr 5;25(1):154. doi: 10.1186/s12871-025-03023-z. |
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| Transversus Abdominis Plane Block | Other | One-side ultrasound (US)-guided Transversus abdominis plane (TAP) block with 0.25% bupivacaine will performe after placement laryngeal mask airway before surgery. |
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It should be recorded whether there is a need for analgesics. |
| During postoperative 24 hours |
| Nause and vomiting | The presence or absence of nausea and vomiting symptoms will be recorded. | During postoperative 24 hours |
| Parents satisfaction | Parental satisfaction was assessed on a scale ranging from 1 to 5 points parents satisfaction with the applied analgesia methods was evaluated on a scale from 1, indicating the lowest satisfaction, to 5, indicating the highest satisfaction. | During postoperative 24 hours |
| Time elapsed until the first analgesic requirement | What type of analgesic is needed. The time elapsed until the first analgesic requirement was recorded. | During postoperative 24 hours |