Complex Surgical Procedures under Regional Anaesthesia: A Feasibility Study in 80 Consecutive Childre

Recruiting

• Conditions: Malposition of ureter; OPS 5-56 Uretersurgery; K62.9; Q62.6; Z43.2; Q53.0; K21.0; K59.2; Q79.2; Q40.0

• Registration Number: DRKS00012683
• Lead Sponsor: Allgemeines Krankenhaus der Stadt Wien; Anästhesie, Allgemeine Intensivmedizin und Schmerztherapie

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2019-07-15
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

Anorectal malformations (ARM) in particular for posterior sagittal anorectoplasty (PSARP)
Hirschsprung´s Disease requiriring transanal pull-through procedures presenting the recto-sigmoid extent of the disease.
Urological surgery in particular for ureteroneocystostomy for vesicoureteral reflux via the transvesical approach.
Pyeloplasty to treat an uretero-pelvic junction obstruction
Pyloromyotomy in infantile hypertrophic pyloric stenosis
Testicular search
Fundoplication for gastroesophageal reflux disease
Abdominal wall reconstruction in omphalocele
Reversal operation after ileostomy

Exclusion Criteria

Parents denial of their child's participation in the study and contraindication to epidural anesthesia;
Long-tailed Hirschsprung disease;

Study & Design

• Study Type: observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary study endpoint will be success rate of surgical blockade, meaning that no general anaesthesia and additional analgesic drugs are required during surgery. Blockade is defined as successful if the skin incision does not evoke movement of the child and if the hemodynamics remaine stable during the surgical procedure.

Secondary Outcome Measures

Name	Time	Method
Secondary endpoints include the amount of additional analgesics during and after the surgical procedure.