Pain
Conditions
Keywords
laparoscopic colorectal surgery, epidural analgesia, pain score, postoperative ileus
Brief summary
Epidural anaesthesia in open surgery is a effective method for analgesia and has a positive effect on postoperative resolution of ileus. In laparoscopic surgery, the role of epidural surgery is not established. This prospective observational trial evaluates the effect of epidural analgesia in patients undergoing elective, laparoscopic colorectal surgery.
Detailed description
All patients with elective, laparoscopic colorectal resection between November 2004 and January 2007 were included in the trial. The decision for epidural analgesia was made by the anaesthetist and the patient. Contraindications were previous back surgery, coagulopathy, severe spondylarthrosis and refusal by the patient as contraindications. Primary outcome was subjective feeling postoperatively, assessed with a VAS for pain and cramps and amount of analgesics used. Secondary outcomes were duration of postoperative bowel dismotility (first flatus, first defecation, first solid food intake) and general and specific morbidity.
Interventions
DRUGepidural analgesia (Duracain/Fentanyl/Naropin)
naropin 0.3% or duracain 0.125% + Fentanyl via epidural catheter 4-12 ml/h
Sponsors
Triemli Hospital
University Hospital, Basel, Switzerland
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* elective laparoscopic colorectal resection
Exclusion criteria
* emergency surgery * preoperatively planned stoma formation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain (VAS), cramps (VAS) and quantity of analgesics | 8 days |
Secondary
| Measure | Time frame |
|---|---|
| duration of postoperative ileus morbidity | 6 months |
Countries
Switzerland
Outcome results
None listed