Laparoscopic-Guided Transversus Abdominis Plane Block Versus Epidural Analgesia in a Colorectal Laparoscopic Surgery. A Protocol for a Randomized Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Post Operative Pain
- Sponsor
- Oulu University Hospital
- Enrollment
- 210
- Locations
- 1
- Primary Endpoint
- Length of post-operative hospital stay after elective laparoscopic colorectal surgery.
- Status
- Recruiting
- Last Updated
- 4 years ago
Overview
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.
Investigators
Heikki Huhta
Gastointestinal Surgeon, Adjunct Professor
Oulu University Hospital
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Length of post-operative hospital stay after elective laparoscopic colorectal surgery.
Time Frame: Up to 1 month
The primary endpoint in this study is the length of post-operative hospital stay after elective laparoscopic colorectal surgery
Secondary Outcomes
- Time to first flatus(Up to 1 month)
- Overall benefit of analgesia score (OBAS)(Up to 1 month)
- Overall operating theatre time(Up to 10 hours)
- Post-operative morphine milligram equivalents recruitments(Up to 1 month)
- Time to post-operative mobilization(Up to 1 month)
- Visual analogue scale(Up to 1 month)
- Hospital readmission(30 and 90-day)
- Overall cost-effectiveness(Up to 6 months)
- Time to first bowel movement(Up to 1 month)
- Post-operative complications related to interventions according to Clavien-Dindo classification(30 and 90-day)