Efficacy of laparoscopic‐installed rectus sheath block for postoperative pain reduction in transabdominal preperitoneal inguinal hernia repair: a double‐blind, randomised‐controlled trial
Authors' conclusion
This study has shown that a laparoscopic rectus sheath block has no beneficial effect in postoperative pain management following laparoscopic transabdominal inguinal hernia repair.
Study context
- Population
- Patients planned for inguinal hernia repair using transabdominal preperitoneal patch plastic with self-fixating mesh
- Participants
- 35 patients
- Comparison
- Laparoscopically-guided rectus sheath block vs control
- Interventionn = 17
- Controln = 18reference
- Primary endpoint
- Postoperative pain score
- Follow-up
- 3 h after surgery
Methodological detailsprospective, double-blinded
- Prospective
- Double-blinded
Primary result
As reported in the abstract
Intervention
3.0
median · IQR [range] 3.0-5.0 [1.0-8.0]
Control
3.5
median · IQR [range] 2.25-4.75 [1.0-8.0]
P = 0.854
Further findings
Median, mg
| Outcome | Intervention | Control | P value |
|---|---|---|---|
| Postoperative oxycodone requirementNot different | 0 (IQR [range] 0-3 [0-7]) | 0 (IQR [range] 0-3 [0-7]) | P = 0.869 |
Original publication
Efficacy of laparoscopic‐installed rectus sheath block for postoperative pain reduction in transabdominal preperitoneal inguinal hernia repair: a double‐blind, randomised‐controlled trial. Anaesthesia. Published 14 July 2025. doi:10.
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