Nerve block or spinal morphine: which offers better pain control after hernia surgery?
NCT ID NCT07695935
First seen Jul 10, 2026 · Last updated Jul 15, 2026 · Updated 2 times
Summary
This trial compares two ways to manage pain after open inguinal hernia repair: an ultrasound-guided nerve block (transversalis fascia plane block) versus a low-dose injection of morphine into the spinal fluid. The goal is to see which method reduces the need for extra painkillers in the first 24 hours after surgery. The study includes 80 adults undergoing elective hernia repair under spinal anesthesia.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupivacaine
- What this could lead to
- If one method proves better, it could reduce the need for opioids after hernia surgery, leading to fewer side effects and faster recovery.
- What could go wrong
- This is a small, early-stage trial with only 80 participants, so results may not apply to everyone. Both methods have known side effects like nausea or rare nerve issues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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 80 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Nov 2026
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 80 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: * Adult patients aged 18-80 years * Patients scheduled for elective unilateral open inguinal hernia repair * ASA physical status I-III * Patients planned to undergo spinal anesthesia * Patients able to understand and report postoperative pain scores * Patients who provide written informed consent Exclusion Criteria: * Refusal to participate * Bilateral inguinal hernia repair * Recurrent inguinal hernia repair * Emergency, incarcerated, or strangulated hernia * Need for general anesthesia * Contraindication to spinal anesthesia * Coagulopathy or anticoagulant use contraindicating neuraxial or peripheral block * Infection at the injection site * Known allergy to local anesthetics, morphine, or study medications * Chronic opioid use * Preoperative chronic groin pain or neuropathic pain history * Severe hepatic or renal failure * Neurological or psychiatric condition preventing communication or pain assessment * Expected inability to complete postoperative follow-up
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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
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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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
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hitit university
RECRUITINGÇorum, Turkey (Türkiye)
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