Can a single nerve block cut opioid use after hernia surgery?
NCT ID NCT07878936
First seen Oct 16, 2026 · Last updated Oct 16, 2026
Summary
Researchers are testing whether an ultrasound-guided quadro-iliac plane block reduces opioid use and pain after laparoscopic inguinal hernia repair. The trial enrolls 64 adults aged 18 to 65 who are scheduled for elective unilateral surgery under general anesthesia. All participants receive the same general anesthesia and pain relief, while half also receive the nerve block with bupivacaine. The team tracks tramadol use, pain scores, recovery quality, nausea, and time to discharge over the first 24 hours.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an ultrasound-guided quadro-iliac plane block using bupivacaine
- What this could lead to
- If it works, this nerve block could become a standard option to cut opioid use and ease pain after laparoscopic hernia repair.
- What could go wrong
- The block may not reduce opioid needs more than standard pain relief, and it carries small risks such as bleeding, infection, or nerve irritation at the injection site.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 64 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18-65 years * American Society of Anesthesiologists (ASA) physical status I-III * Scheduled for elective unilateral laparoscopic inguinal hernia repair (TAPP or TEP) under general anesthesia * Written informed consent Exclusion Criteria: * Refusal to participate * Bilateral hernia repair or conversion to open surgery * Known allergy to local anesthetics or study drugs * Coagulopathy or ongoing therapeutic anticoagulation * Infection at the block site * Chronic pain or regular opioid use before surgery * Severe hepatic or renal dysfunction * Pregnancy * Inability to understand the NRS or use the PCA device
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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