Efficacy of Postoperative Epidural Anesthesia Following Abdominoplasty

Completed

• Conditions: Anesthesia; Abdominoplasty
• Interventions: Procedure: Epidural anesthesia

• Registration Number: NCT05822882
• Lead Sponsor: Klinik Bogenhausen

Brief Summary

Effective postoperative pain management is essential for patient satisfaction and therefore intraoperative regional nerve blocks have become more and more popular in abdominoplasties. However, the key disadvantage of these blocks are their limited duration of action. This observational study evaluates the effects of a longer- lasting, individualized epidural analgesia using a pain pump to better classify the clinical value of this procedure.

Detailed Description

This work reviews the digital medical charts of patients who underwent selective abdominoplasty without additive surgical procedures within a period of 4 years. Evaluated data comprise the postoperative analgesia regimen, including on-demand medication, mobilization time, inpatient length of stay, and clinical outcome. The patients were grouped by the presence of an epidural catheter.

Study Timeline

• Study Start: 2022-12-14
• Primary Completion: 2023-02-24
• Study Completion: 2023-02-24
• Study First Submitted: 2023-03-11
• Status Verified: 2023-04
• Study First Submitted QC: 2023-04-09
• Last Update Submitted: 2023-04-09
• Study First Posted: 2023-04-21
• Last Update Posted: 2023-04-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 112

Inclusion Criteria

• Patients who underwent abdominoplasty

Exclusion Criteria

• Patients who underwent abdominoplasty combined with additional intraoperative procedures (e.g., liposuction, hernia repair) were excluded

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients with epidural anesthesia	Epidural anesthesia	Patients following Abdominoplasty with postoperative epidural anesthesia via pain catheter

Primary Outcome Measures

Name	Time	Method
frequency of retrieval of the on-demand non-epidural opiate	from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days	frequency of retrieval of the on-demand non-epidural opiate as a measure of perceived pain discomfort

Secondary Outcome Measures

Name	Time	Method
postoperative mobilization ability	from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days	the time at which the patient was able to move at room level with the assistance of a nurse (assisted full mobilization), the time at which the patient was able to get out of bed independently and move without assistance (independent full mobilization)
timing of urinary catheter removal	from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days	timing of urinary catheter removal after surgery
length of hospital stay	from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days	number of days from the day of surgery until dischargement

Trial Locations

Locations (1)

ISAR Klinikum; 🇩🇪 München, Bayern, Germany