No registrations found.
ID
Source
Health condition
Elective mentally competent surgical patients for open inguinal hernia repair in daytime surgery
De onderzoekspopulatie bestaat uit wilsbekwame proefpersonen ouder dan 18 jaar die zich op de preoperatieve screening van de polikliniek van de afdeling anesthesiologie in het Westfriesgasthuis presenteren voor een operatieve correctie van een liesbreuk volgens Lichtenstein en die voldoen aan de in en exclusie criteria zoals hieronder vermeld. De proefpersonen worden geïncludeerd na informed consent.
Sponsors and support
Intervention
Outcome measures
Primary outcome
Analyse difference in numeric rating scale between the 2 groups until 48 hours after the operation
Secondary outcome
Time to first use of intravenous morfine
Total amount of titrated morfine
Use of tramadol at home
Patient satisfaction
The incidence of nausea and vomiting
Background summary
Hernia inguinal repair is the most common operation performed by general surgeons in the Netherlands. One of the most common complications after hernia repair is postoperative and chronic pain. Postoperative pain is an expected but indesirable effect after an operation, which can result in an prolonged hospital stay or longer time to return to full normal daily activities. Thera are indications that an insufficiant treatment of postoperative pain is a risk factor for persistant or chronic pain after open hernia repair. The objective of this study is to determine, whether the use of an perioperative echo guided unilateral TAP block has an superior effect on postoperative pain after open hernia inguinal repair compared to wound infiltration with a long acting local anesthetic. There wil be no further analysis in this study regarding the relation of open hernia repair and chronic pain
Study objective
Is a transversus abdominis plane block more effective regarding postoperative pain than perioperative wound infiltration with a long acting local anesthetic for a group of patients for open inguinal hernia repair
Study design
NRS rating scale 48 hours post surgery
Leiden Perioperative care Patient Satisfaction questionnaire (LPPSq)
Intervention
Procedure/surgery: TAP block
2groups, group A a TAP block with 20ml of levobupivacaine 0,5% and subcutaneous wound infiltration with 20ml sodium chloride (to blind patient and physician) and group B, TAP block with 20ml sodium chloride and subcutaneous wound infiltration with 20ml levobupivacaine 0,5% (to blind patient and physician)
Peter Dijkhuizen
Maelsonstraat 3
Hoorn 1624NP
The Netherlands
0229855427
p.dijkhuizen@westfriesgasthuis.nl
Peter Dijkhuizen
Maelsonstraat 3
Hoorn 1624NP
The Netherlands
0229855427
p.dijkhuizen@westfriesgasthuis.nl
Inclusion criteria
Male patients, Age between 18-80 years (18-80 jaar), mentally competent, American Society of Anesthesiologists (ASA) class score 1-3, elective surgery, Body Mass Index (BMI) between 20 en 35.
Exclusion criteria
Body Mass Index (BMI) >35, fever, coagulation disorders ( PT>13 sec en APPT >32 sec), renal insufficiency(eGFR< 50 ml/min), serious hepatic impairment(albumine <30g/L and or INR>2), woundinfection close to punction site, preoperative use of analgetics, hypersensitivity for Levobupivacaïne
Design
Recruitment
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL5386 |
| NTR-old | NTR5487 |
| CCMO | NL49853.094.14 |
| OMON | NL-OMON42102 |