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Visually Guided TAP Block in Laparoscopic TAPP Hernia Repair

RecruitingNAAges 18 Years - 80 YearsAllUniversity of Warmia and Mazury in Olsztyn
NCT07264699 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This prospective, randomized clinical study aims to evaluate the effectiveness of the Transversus Abdominis Plane (TAP) block performed under direct laparoscopic vision in reducing postoperative pain and improving recovery after laparoscopic inguinal hernia repair using the TAPP (Transabdominal Preperitoneal) technique. The study will enroll 100 adult patients undergoing elective laparoscopic TAPP hernia repair at the University Clinical Hospital in Olsztyn, Poland. Participants will be randomly assigned to two equal groups. In the study group, a bilateral TAP block will be performed under direct vision using 20 ml of 0.25% bupivacaine on each side after establishing pneumoperitoneum. The control group will undergo the same surgical procedure without the TAP block. All patients will receive standardized anesthesia and postoperative pain management according to hospital protocol. Postop

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age 18-80 years * Elective laparoscopic inguinal hernia repair using the TAPP (Transabdominal Preperitoneal) technique * ASA physical status I-III * Ability to provide written informed consent * No contraindications to regional anesthesia or local anesthetic administration Exclusion Criteria: * Recurrent or strangulated inguinal hernia * Emergency surgery * Chronic pain syndromes or preoperative opioid use * Known allergy or hypersensitivity to local anesthetics (bupivacaine or similar) * Severe hepatic or renal impairment * Psychiatric disorders or inability to provide informed consent * Conversion to open surgery during the procedure * Technical difficulties preventing TAP block administration
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What it tests

  • Laparoscopic Transversus Abdominis Plane (TAP) Block with Bupivacaine
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Where

1 site
University Clinical Hospital in Olsztyn, Department of General and Oncological Surgery
Olsztyn, Poland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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