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The laparoscopic TAP block (LTAP) in laparoscopic Roux-en-Y gastric bypass surgery (LRYGB)

Recruiting
Conditions
E66
Obesity
Registration Number
DRKS00034186
Lead Sponsor
Klinik für Adipositas und Metabolische Chirurgie, HELIOS Klinikum Berlin Buch
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
330
Inclusion Criteria

Patients who received an LRYGB at our institution in 2020 or 2022 for a guideline-compliant indication should be included in the study.
All patients from 2020 had not received an L-TAP block, whereas all patients from 2022 had received such an additional block. Cases without L-TAP in 2022 were excluded.

Exclusion Criteria

All other bariatric surgery procedures should be excluded from the survey, e.g. single-anastomosis bypass, reoperations, gastric sleeve resections and combination procedures such as LRYGB with cholecystectomy, partial gastric resection or with placement of a non-adjustable gastric band as an additional procedure in the same surgical session. Furthermore, revision surgery in the event of treatment failure or late complications, conversion to open surgery and persons under the age of 18 were excluded.

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
- Pain according to VAS 24h postoperative<br>- Cumulative information on pain in the first 80 hours postoperatively (VAS as area under the curve)<br>- Pain medication requirement: cumulative requirement for opioids up to 80h postoperatively
Secondary Outcome Measures
NameTimeMethod
- Pain progression (VAS) 1h, 8h, 16h, 24h, 32h, 40h, 48h, etc. up to 80h postoperatively<br>- Maximum pain in the postoperative period<br>- Length of stay in hospital (days)<br>- Duration of the operation (incision/suture time)<br>- Need for other non-opioid painkillers from induction of anesthesia to 80h postoperatively<br>- Postoperative complications according to Clavien-Dindo classification up to 30 days postoperatively
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