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Influence of Epidural Analgesia in Elective Laparoscopic Colorectal Resections

Phase 4
Completed
Conditions
Pain
Interventions
Drug: epidural analgesia (Duracain/Fentanyl/Naropin)
Registration Number
NCT00512395
Lead Sponsor
University Hospital, Basel, Switzerland
Brief Summary

Epidural anaesthesia in open surgery is a effective method for analgesia and has a positive effect on postoperative resolution of ileus. In laparoscopic surgery, the role of epidural surgery is not established. This prospective observational trial evaluates the effect of epidural analgesia in patients undergoing elective, laparoscopic colorectal surgery.

Detailed Description

All patients with elective, laparoscopic colorectal resection between November 2004 and January 2007 were included in the trial. The decision for epidural analgesia was made by the anaesthetist and the patient. Contraindications were previous back surgery, coagulopathy, severe spondylarthrosis and refusal by the patient as contraindications.

Primary outcome was subjective feeling postoperatively, assessed with a VAS for pain and cramps and amount of analgesics used. Secondary outcomes were duration of postoperative bowel dismotility (first flatus, first defecation, first solid food intake) and general and specific morbidity.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
75
Inclusion Criteria
  • elective laparoscopic colorectal resection
Exclusion Criteria
  • emergency surgery
  • preoperatively planned stoma formation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1epidural analgesia (Duracain/Fentanyl/Naropin)epidural analgesia
Primary Outcome Measures
NameTimeMethod
pain (VAS), cramps (VAS) and quantity of analgesics8 days
Secondary Outcome Measures
NameTimeMethod
duration of postoperative ileus morbidity6 months

Trial Locations

Locations (1)

Triemli Hospital

🇨🇭

Zurich, Switzerland

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