M-Tapa Block for Laparoscopic Inguinal Hernia Repair Surgery

• Status: Recruiting
• Trial end date: 2022-05-30
• Target enrollment: 0
• Participant gender: All

Summary

Modified Perichondral Approach Thoracoabdominal Nerve (M-TAPA) block is a novel block that provides effective analgesia of the anterior and lateral thoracoabdominal walls during laparoscopic surgery, in which local anesthetic is applied only to the lower side of the perichondral surface. M-TAPA block is a good alternative for analgesia of the upper dermatome levels and the abdominal lateral wall, and may be an opioid-sparing strategy with satisfactory quality improvement in patients undergoing laparoscopic surgery.

M-TAPA block provides analgesia at the level of T5-T11 in the abdominal region. Sonoanatomy is easy to visualize and the spread of local anesthetic can be easily seen. Analgesia occurs in several dermatomes thanks to the cephalocaudal spread of the local anesthetic solution. There are studies in the literature investigating the effectiveness of M-TAPA block for post-operative pain management in several abdominal surgeries.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Medipol University

Criteria

Inclusion Criteria:

• American Society of Anesthesiologists (ASA) classification I-II

• Scheduled for laparoscopic inguinal hernia repair surgery under general anesthesia

Exclusion Criteria:

• Bleeding diathesis

• Receiving anticoagulant treatment

• Known local anesthetics and opioid allergy

• Infection of the skin at the site of the needle puncture

• Pregnancy or lactation

• Patients who do not accept the procedure