A Study to Compare Laparoscopic to Echographic Assisted Transversus Abdominis Plane Block in Laparoscopic Colectomy

Davide La Regina

Status: Completed

Conditions: Laparoscopic Colectomy; Pain, Postoperative

Treatments: Procedure: laparoscopic-assisted Transversus Abdominis Plane (TAP) block; Drug: Ropivacaine; Procedure: ultrasound-assisted Transversus Abdominis Plane (TAP) block

Study type: Interventional

Funder types: Other

Identifiers

NCT04575233

TAP block

Details and patient eligibility

About

The purpose of this study is to compare the postoperative pain, the time needed and other clinical outcomes in patients who, during laparoscopic colectomy, will be injected with a local anesthetic (Ropivacaine) through an ultrasound guided technique performed by the anaesthesiologist or throught a laparoscopic assisted technique performed by the surgeon

Enrollment: 116 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients candidates to laparoscopic colorectal surgery
• Signed informed consent

Exclusion criteria

• Age < 18 years old
• Pregnancy
• Allergy to local anaesthetics
• Spinal or epidural analgesia
• Acute inflammatory abdominal pathologies
• Chronic pain syndrome
• Contraindications to nonsteroidal anti-inflammatory drugs (NSAIDS)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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116 participants in 2 patient groups

Laparoscopic Transversus Abdominis Plane (L-TAP) group

Experimental group

Description:

Patients will undergo the planned laparoscopic colectomy according to the standard of treatment. A solution of 15 ml of Ropivacaine (0.2%) is then injected for postoperative pain under laparoscopic control

Treatment:

Procedure: laparoscopic-assisted Transversus Abdominis Plane (TAP) block

Drug: Ropivacaine

Ultrasound Transversus Abdominis Plane (U-TAP) group

Active Comparator group

Description:

Patients will undergo the planned laparoscopic colectomy according to the standard of treatment. A solution of 15 ml of Ropivacaine (0.2%) is then injected for postoperative pain under ultrasound control

Treatment:

Drug: Ropivacaine

Procedure: ultrasound-assisted Transversus Abdominis Plane (TAP) block