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CTRI Number  CTRI/2018/05/013765 [Registered on: 08/05/2018] Trial Registered Prospectively
Last Modified On: 08/05/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing two methods of pain management following inguinal hernia repair. 
Scientific Title of Study   Comparison of ultrasound guided transversalis fascia plane block versus transversus abdominis plane block for postoperative analgesia following inguinal hernia surgery-a prospective randomised clinical study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  ARJUN BK 
Designation  SENIOR RESIDENT 
Affiliation  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES 
Address  DEPARTMENT OF ANAESTHESIOLOGY. KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES, VV PURAM , KR ROAD, BENGALURU
205/4 1ST MAIN 12TH CROSS, BAPUJINAGAR, BENGALURU 560026
Bangalore
KARNATAKA
560004
India 
Phone  9972802569  
Fax    
Email  arjun.bg88@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  ARJUN BK 
Designation  SENIOR RESIDENT 
Affiliation  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES 
Address  DEPARTMENT OF ANAESTHESIOLOGY. KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES, VV PURAM , KR ROAD, BENGALURU
205/4 1ST MAIN 12TH CROSS, BAPUJINAGAR, BENGALURU 560026

KARNATAKA
560004
India 
Phone  9972802569  
Fax    
Email  arjun.bg88@gmail.com  
 
Details of Contact Person
Public Query
 
Name  ARJUN BK 
Designation  SENIOR RESIDENT 
Affiliation  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES 
Address  DEPARTMENT OF ANAESTHESIOLOGY. KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES, VV PURAM , KR ROAD, BENGALURU
205/4 1ST MAIN 12TH CROSS, BAPUJINAGAR, BENGALURU 560026

KARNATAKA
560004
India 
Phone  9972802569  
Fax    
Email  arjun.bg88@gmail.com  
 
Source of Monetary or Material Support  
ARJUN B K Department of anaesthesiology, KIMS, VV puram, KR road, Bengaluru 560004 
 
Primary Sponsor  
Name  ARJUN B K 
Address  DEPARTMENT OF ANAESTHESIOLOGY, KIMS, BENGALURU 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
ARJUN B K  Kempegowda institute of medical sciences  Operation room, A block, 4th floor,Department of Anaesthesiology, VV puram, KR road,Bengaluru
Bangalore
KARNATAKA 
9972802569

arjun.bg88@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KIMS INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  PATIENTS POSTED FOR ELECTIVE UNILATERAL INGUINAL HERNIA REPAIR,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  GROUP 1  ULTRASOUND GUIDED TRANSVERSALIS FASCIA PLANE BLOCK 
Comparator Agent  GROUP 2  ULTRASOUND GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients undergoing elective unilateral open inguinal hernia repair
2. Aged between 18 and 60 years of age
3. American Society of Anesthesiologists (ASA) class 1 and 2
 
 
ExclusionCriteria 
Details  1. Allergy to local anaesthetic
2. BMI>35kg/m2
3. Chronic abuse of analgesic medications
4. Bleeding disorder, pregnancy and infection near the procedure area
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
TIME FOR REQUEST OF FIRST RESCUE ANALGESIA  TIME FOR REQUEST OF FIRST RESCUE ANALGESIA 
 
Secondary Outcome  
Outcome  TimePoints 
1. PATIENT SATISFACTION
2.TOTAL ANALGESIC CONSUMPTION IN 24HOURS
3. COMPLICATIONS 
UPTO 24HOURS 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/05/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   1..Lee THW, Barrington MJ, Tran TM, Wong D, Hebbard PD. Comparison of extent of sensory block following posterior and subcostal approaches toultrasound-guided transversus abdominis plane block. Anaesth Intensive care. 2010;38:452–460. 3.Borglum J, Christensen AF, Hoegberg LCG, et al. Bilateral-dual transversus abdominis plane (BD-TAP) block or thoracic paravertebral block (TPVB)? Distribution patterns, dermatomal anaesthesia and pharmacokinetics. Reg Anesth Pain Med. 2012;1:E137–E139. 4.Peter D Hebbard, Fanzca. Transversalis fascia plane block, a novel ultrasound-guided abdominal wall nerve block. Can J Anesth (2009) 56:618–620. 5.Petersen PL, Mathiesen O, Stjernholm P, et al. The effect of transversus abdominis plane block or local anaesthetic infiltration in inguinal hernia repair: a randomised clinical trial. Eur J Anaesthesiol. 2013;30:415–421.  
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Inguinal hernia repair is a common surgical procedure with reported upto 54% patients developing chronic pain. Thus, effective postoperative pain management is essential to prevent development of chronic pain.Several methods have been described for postoperative analgesia following inguinal hernia. our study aims at comparing novel ultrasound guided transversalis fascia plane block with transversus abdominis plane block for postoperative analgesia following elective unilateral inguinal hernia repair with respect to duration of analgesia or first request of rescue analgesia, patient satisfaction and any complications. 
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