Laparoscopic-guided TAP Block vs Epidural Analgesia
- Conditions
- Post Operative Pain
- Interventions
- Other: Safety and efficiency of post operative analgesia between laparoscopic-assisted TAP block and epidural analgesia
- Registration Number
- NCT05214261
- Lead Sponsor
- Oulu University Hospital
- Brief Summary
The LAPTAP trial will provide evidence on preferred post-operative analgesia method in elective laparoscopic colon surgery.
- Detailed Description
In most previous studies TAP-block has been inserted by anesthesiologist under ultrasound guidance. TAP blockade can alternatively be performed by a surgeon with laparoscopic visual guidance during trocar placement by aiming injection into fascial plane between the internal oblique and transversus abdominis in the midaxillary line and repeated on the contralateral side. There is lack in studies comparing laparoscopic guided TAP-blockade versus epidural pain analgesia in elective laparoscopic colon surgery exist.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 210
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description TAP block group Safety and efficiency of post operative analgesia between laparoscopic-assisted TAP block and epidural analgesia Patiens undergo laparoscopic-guided TAP block installation for laparoscopic clolorectal surgery Epidural analgesia group Safety and efficiency of post operative analgesia between laparoscopic-assisted TAP block and epidural analgesia Patients undergo epidural catheters placement for laparoscopic colorectal surgery
- Primary Outcome Measures
Name Time Method Length of post-operative hospital stay after elective laparoscopic colorectal surgery. Up to 1 month The primary endpoint in this study is the length of post-operative hospital stay after elective laparoscopic colorectal surgery
- Secondary Outcome Measures
Name Time Method Time to first flatus Up to 1 month Post-operative flatus
Visual analogue scale Up to 1 month The scores range 1 to 10. Higher scores indicates worse outcome in the treatment of anelgesia.
Overall benefit of analgesia score (OBAS) Up to 1 month The scores range 0 - 24. Low OBAS socre indicates high benefit of analgesia
Overall operating theatre time Up to 10 hours Overall operating theatre time
Post-operative morphine milligram equivalents recruitments Up to 1 month Post-operative morphine recruiments
Time to post-operative mobilization Up to 1 month Post-operative mobilization
Hospital readmission 30 and 90-day Post-operative readmissions
Overall cost-effectiveness Up to 6 months Overall cost-effectiveness
Time to first bowel movement Up to 1 month Post-operative bowel movement
Post-operative complications related to interventions according to Clavien-Dindo classification 30 and 90-day Post-operative complications
Trial Locations
- Locations (1)
Surgery and Intensive Care Research Unit
🇫🇮Oulu, Finland