Influence of Analgesic Technique on Post Operative Rehabilitation After Median Laparotomy

Launched by CENTRE HOSPITALIER RÉGIONAL METZ-THIONVILLE · Jul 21, 2021

Keywords

ClinConnect Summary

This clinical trial is studying how different pain relief methods affect recovery after a surgery called median laparotomy, which involves making a cut in the abdomen. The researchers want to compare two techniques for managing pain: one group of patients will receive epidural anesthesia, which involves a catheter placed near the spine to block pain, while the other group will have catheters placed in the muscles of the abdomen to provide localized pain relief.

To participate in this study, patients should be between the ages of 65 and 74, able to understand French, and scheduled for a midline laparotomy. They must also agree to participate by providing written consent. It’s important to note that some individuals may not be eligible due to certain health conditions or if they are currently involved in another clinical study. Those who join can expect to receive either of the pain management techniques and be monitored for how well they recover after surgery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • ASA (American Society of Anesthesiologists) Class I-IV adult, with programmed midline laparotomy
• • Have given an informed written consent
• • Able to read and understand french language
• • Affiliation to a social security system
• Exclusion Criteria:
• • Local anesthesic contraindication (allergy, porphyria, haemolytic anaemia, uncontrolled epilepsy, or severe cardiac conduction disorders) or TEA (coagulation disorders, progressive neurological disease, or severe spinal disorder),
• • Epidural analgesia contraindication
• • With impossibility to set up bilateral rectus sheath block
• • Participation in another clinical study
• • Pregnant women
• • Patients deprived of their liberty by a judicial or administrative decision,
• • Patients undergoing psychiatric care under articles L.3212-1 and L.3213-1 of the French Public Health Code