RecruitingNot ApplicableNCT07147062

Comparison of the Postoperative Analgesic Effects of RSB and CEB in Pediatric Patients Scheduled for Percutaneous Internal Ring Suturing

Comparison of the Postoperative Analgesic Effects of Rectus Sheath Block and Caudal Epidural Block in Pediatric Patients Scheduled for Percutaneous Internal Ring Suturing

Sponsor

Diskapi Yildirim Beyazit Education and Research Hospital

Enrollment

65 participants

Start Date

Sep 8, 2025

Study Type

INTERVENTIONAL

Conditions

Pain Management Percutaneous Internal Ring Suturing

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

Min Age: 1 YearMax Age: 8 Years

Inclusion Criteria3

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 Criteria3

Patients younger than 1 year or older than 8 years
ASA physical status ≥ III
History of bleeding diathesis

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Interventions

PROCEDURERectus 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.

PROCEDURECaudal 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.