Comparison of the Postoperative Analgesic Effects of RSB and CEB in Pediatric Patients Scheduled for Percutaneous Internal Ring Suturing
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Rectus Sheath Block, Caudal Epidural Block.
- Who it may be relevant to
- Registry conditions: Percutaneous Internal Ring Suturing, Pain Management. Basic parameters: 1 year — 8 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of the Postoperative Analgesic Effects of Rectus Sheath Block and Caudal Epidural Block in Pediatric Patients Scheduled for Percutaneous Internal Ring Suturing
Overview
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.
Interventions
- Procedure Rectus Sheath Block
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. - Procedure 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.
Primary outcome measures
- Pain Scores [Time frame: On the operation day]
Secondary outcome measures (2)
- Postoperative nausea and vomiting [Time frame: On the operation day]
- Time to first mobilization [Time frame: On the operation day]
Eligibility criteria
Inclusion criteria
- 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
Exclusion criteria
- Patients younger than 1 year or older than 8 years
- ASA physical status ≥ III
- History of bleeding diathesis
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Ankara Etlik City Hospital — Altındağ
Identifiers
NCT: NCT07147062 · AEŞH-EK-2025-170