Comparison of Three Techniques for Analgesia After Abdominoplasty

Abdominoplasty Patients Clinical Trial

— Maha1  

Official title:

The Efficacy of Three Different Surgically Infiltrated Local Anesthetic Techniques in Abdominoplasty

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT03077581
• Other study ID #: D.Maha abdominoplasty
• Status: Active, not recruiting
• Phase: N/A
• First received: March 3, 2017
• Last updated: March 7, 2017
• Start date: March 1, 2017
• Est. completion date: June 15, 2017

Study information

• Verified date: March 2017
• Source: Mansoura University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study was conducted to demonstrate post-abdominoplasty analgesic duration consequent to three different surgically infiltrated LA techniques; bilateral TAPB, bilateral RSB and subcutaneous infiltration using the same volume of 0.25% bupivacaine (40 ml). Pain score, total analgesic rescue requests and the total amount of systemic rescue analgesia used in the first postoperative day in addition to any detected postoperative complications were also recorded.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 48
• Est. completion date: June 15, 2017
• Est. primary completion date: June 5, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• all patients listed for abdominoplasty

Exclusion Criteria:

• allergy to bupivacaine

Related Conditions & MeSH terms

• Abdominoplasty Patients

Intervention

Drug:
• Transevrsus abdominus plane block
a blunt needle was advanced in the midaxillary line to reach the fascial layer between the internal oblique and transverse abdominis muscles detected by facial click sensation. The LA was slowly injected so as to detect any sign of toxicity or incorrect needle tip position (as resistance) requiring needle repositioning then TAPB was repeated on the opposite side.
• Rectus sheath block
In RSB group, 2-3 cm from midline, about 3-5 cm above the umbilicus, the needle was advanced at right angle to the skin. The needle reaches the space between the posterior layer of the rectus sheath and rectus abdominis muscle detected by firm resistance of the posterior wall, The LA was slowly injected then the same steps were repeated on the other side.
• local anesthesia infiltartion
40 mls of 0.255 bupivacaine will be infiltrated at skin incision

Locations

Country	Name	City	State
Egypt	Mansoura university	Mansoura	Dakahleya

Sponsors (1)

Lead Sponsor	Collaborator
Mansoura University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	morphine consumption (mg)	postoperative morphine consumption in milligrams in the 1st 24 hours postoperatively	up to 24 hours