Conditions: Ventral Hernia Umbilical Hernia Incisional Hernia Postoperative Complications Pain, Postoperative
Keywords: Transabdominal plane block ventral hernia umbilical hernia incisional hernia hernia repair
Allocation: RANDOMIZED | Intervention model: PARALLEL
Enrollment: 127
Healthy volunteers: yes

Brief summary:
The purpose of this study is to determine if a Transabdominal Plane Block will decrease patient pain and pain medication use after a laparoscopic ventral (ventral, umbilical, incisional) hernia repair with mesh.

Detailed description:
Patients coming in for a laparoscopic ventral (ventral, umbilical, incisional) hernia repair with mesh are randomized to either receive a Transabdominal Plane Block injection or a placebo saline injection. The injection will be performed by surgeons under direct visualization during laparoscopic surgery prior to mesh placement. Patients will be followed up post-operatively and after hospital discharge to assess for opioid usage and pain score. Patients in both arms are medically cleared by the surgeon. Currently there are no studies that look at the use of Transabdominal Plane Block in ventral hernia repairs.

Arms:
arm 1: Receiving Transabdominal Plane Block with 0.25% bupivacaine arm 2: Receiving placebo saline injection

Interventions: intervention 1: Transabdominal Plane Block intervention 2: Non Transabdominal Plane Block
Intervention descriptions: intervention 1: 0.25% bupivacaine injection in 6 different locations in abdomen. Weight \<100kg: 50ml total; weight \>100kg: 60ml total intervention 2: Saline injection in 6 different locations in abdomen. Weight \<100kg: 50ml; weight \>100kg: 60ml

Protocol document: