Comparison of the Postoperative Analgesic Effects of Rectus Sheath Block and Caudal Epidural Block in Pediatric Patients Scheduled for Percutaneous Internal Ring Suturing
Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
Inguinal hernia is one of the most common surgical pathologies in children, and the minimally invasive percutaneous internal ring suturing (PIRS) technique is widely preferred. By providing effective pain control, nerve blocks reduce postoperative opioid requirements, thereby minimising opioid-related adverse effects and lowering the risk of pulmonary and cardiovascular complications. This study aims to compare the postoperative analgesic effects of rectus sheath block and caudal epidural block in pediatric patients undergoing PIRS.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 1
Maximum Age: 8
Healthy Volunteers: f
View:
• Patients aged between 1 and 8 years
• ASA physical status I-II
• Patients who underwent PIRS surgery in the operating room and received either a rectus sheath block or a caudal epidural block
Locations
Other Locations
Turkey
Ankara Etlik City Hospital
RECRUITING
Altındağ
Contact Information
Primary
Elif Şule Özdemir Sezgi
elifsule-91@hotmail.com
00905059209638
Backup
Aslı Dönmez
aslidonmez@hotmail.com
00905322256473
Time Frame
Start Date: 2025-09-08
Estimated Completion Date: 2026-02-27
Participants
Target number of participants: 65
Treatments
Active_comparator: Rectus Sheath Block
Using an in-plane approach from cephalad to caudal, a 22G, 50-mm needle will be advanced through the subcutaneous tissues, penetrating the anterior rectus sheath and progressing within the muscle until the needle tip contacts the posterior rectus sheath. After negative aspiration, a total volume of 0.5 mL/kg of 0.25% bupivacaine-distributed equally between both sides-will be injected bilaterally under direct ultrasound guidance.~Paracetamol at a dose of 10 mg/kg will be administered intraoperatively.
Active_comparator: Caudal Epidural Block
A 22G caudal epidural needle will be inserted at approximately a 45° angle toward the sacral hiatus, and the characteristic click sensation will be felt upon passing the sacrococcygeal ligament. The needle will then be advanced carefully in the cephalad direction, parallel to the longitudinal axis of the spinal canal. After confirming correct placement by negative aspiration, 1 mL/kg of 0.25% bupivacaine will be administered.~Paracetamol at a dose of 10 mg/kg will be administered intraoperatively.
Related Therapeutic Areas
Sponsors
Leads: Diskapi Yildirim Beyazit Education and Research Hospital