Efficacy of Transversalis Fascia Plane Block Versus Wound Infiltration in Varicoselectomy Surgery

Study Overview
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Brief Summary
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Before surgery, patients will be divided into 2 groups as transversalis fascia plane block will be applied and skin infiltration will be applied. Post-operative analgesic procedures will be applied to patients receiving general anesthesia. Postoperative analgesic consumption and pain scores of the patients will be evaluated.

Official Title
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Comparison of the Efficacy of Transversalis Fascia Plane Block and Wound Infiltration in Varicoselectomy Surgery; Randomised, Controlled Study.

Conditions
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Analgesia, Transversalis Fascia Plane Block, Wound Infiltration, Varicoselectomy

Intervention / Treatment
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* Procedure: Wound site infiltration
* Procedure: Transversalis fascia plane block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients over the age of 18 who will undergo Varicocele operation ASA I-II Exclusion Criteria: Patients with allergic reaction to anesthesia and analgesia drugs to be used Patients who did not want to voluntarily participate in the study Severe systemic disease (kidney, liver, pulmonary, endocrine) Substance abuse history Chronic pain history Psychiatric problems and communication difficulties History of hematological problem Patients with severe hemodynamic instability due to infection, heavy bleeding

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Wound Infiltration<br>Wound infiltration will be applied to the surgical incision site for patients in this group. Infiltration fluid will contain 20 ml 0.25% bupivakain. | Procedure: Wound site infiltration<br>* Block fluids that were prepared as 20 ml 0.25% bupivacaine before the intervention, will be applied through the upper and lower incision lips on the suprainguinal surgical site.<br>|
| Experimental: Transversalis Fascia Plane Block<br>Transversalis fascia plane block will be performed on only one periinguinal side for patients in this group. Block fluid will contain 20 ml 0.25% bupivakain. | Procedure: Transversalis fascia plane block<br>* External, internal oblique, and transversus abdominis muscles will be visualized by the ultrasound device. After transversalis fascia will be seen, transversalis fascia plane block will be performed. As a block fluid 20 ml 0.25% bupivacaine will be applied.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Scores (0 (low)-10 (high)) | Pain will be assessed by visual analog scale scores | 1st hour | 
| Pain Scores (0 (low)-10 (high)) | Pain will be assessed by visual analog scale scores | 2nd hour | 
| Pain Scores (0 (low)-10 (high)) | Pain will be assessed by visual analog scale scores | 4th hour | 
| Pain Scores (0 (low)-10 (high)) | Pain will be assessed by visual analog scale scores | 8th hour | 
| Pain Scores (0 (low)-10 (high)) | Pain will be assessed by visual analog scale scores | 12th hour | 
| Pain Scores (0 (low)-10 (high)) | Pain will be assessed by visual analog scale scores | 24th hour | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rescue analgesic consumption | Analgesic drug consumption will be assessed | Any time on postsurgical first 24 hour. |