Influence of Epidural Analgesia in Elective Laparoscopic Colorectal Resections
Trial Snapshot
- Phase
- Phase 4
- Status
- Completed
- Sponsor
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- pain (VAS), cramps (VAS) and quantity of analgesics
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •elective laparoscopic colorectal resection
Exclusion Criteria
- •emergency surgery
- •preoperatively planned stoma formation
Arms & Interventions
1
epidural analgesia
Intervention: epidural analgesia (Duracain/Fentanyl/Naropin) (Drug)
Outcomes
Primary Outcomes
pain (VAS), cramps (VAS) and quantity of analgesics
Time Frame: 8 days
Secondary Outcomes
- duration of postoperative ileus morbidity(6 months)