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Intercostal Nerve Cryoablation for Postoperative Pain Management

Intercostal Nerve Cryoablation for Postoperative Pain Management

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03972397
Enrollment
20
Registered
2019-06-03
Start date
2019-07-15
Completion date
2022-09-22
Last updated
2023-11-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pain, Postoperative

Keywords

Cryoablation

Brief summary

The purpose of the study is to assess the efficacy of intercostal nerve cryoablation on the magnitude and duration of postoperative pain control both in patients undergoing thoracoabdominal incisions for the descending or thoracoabdominal aortic aneurysm repair.

Interventions

Patients will receive intraoperative intercostal nerve cryoablation using CryoICE® CRYO2 cryoablation probes (AtriCure, Inc) to intercostal spaces 4th to 10th in thoracoabdominal aortic repairs and 4th to 8th in descending thoracic aortic repair cases prior to wound closure.

DRUGBupivacaine liposomal injectable suspension

Patients from both groups will receive the same volume of diluted Exparel®, which will be given in four 20ml syringes using 22-gauge needles (266mg of liposomal bupivacaine, equivalent of one 1.3% 20ml vial of EXPAREL, diluted in 50ml of preservative-free normal (0.9%) sterile saline for a total volume of 70ml).

Patients will have access to the standard PCA (Patient-Controlled Analgesia) offered at the Memorial Hermann Hospital - Texas Medical Center. The PCA drug will be Dilaudid (hydromorphone). Initial dosing will be per the standard hospital protocol of 0.2 mg demand dose, 10-minute lockout, 2 mg per hour max, 0.4 mg rescue dose. Adjustments to the PCA dosing will be made based on clinical needs.

Sponsors

The University of Texas Health Science Center, Houston
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Descending/thoracoabdominal incision is planned * There is reasonable expectation that the patient will be extubated within 48 hours after surgery

Exclusion criteria

* The patient has a known allergy to morphine or any opioid * The patient has a known chronic pain disorder or takes daily opioid medication \> 1 month prior to surgery * The surgeon/anesthesiologist concludes that the period for intubation will be likely be for more than 48 hours after surgery There is anticipated difficulty communicating pain status due to language or other barriers at the investigator discretion.

Design outcomes

Primary

MeasureTime frameDescription
Score on Numeric Pain Scale (NPS)post-operative day 5The NPS measures the intensity of pain. The total score ranges from 0 to 10, with 0 being no pain and 10 the highest pain.
Brief Pain Inventory (BPI) - Severity ScorebaselineThe Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine.
Brief Pain Inventory (BPI) - Pain Interference ScorebaselineThe Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference.
5-point Satisfaction Scalepost-operative day 3The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied.

Secondary

MeasureTime frame
Number of Participants Who Attain Physical Therapy Goal That Justifies Discharge From Inpatient Physical Therapy Within 72 Hours72 hours after surgery
Total Amount in mg of Opioid Medication Consumedthird to fifth post-operative days after surgery
Hospital Cost for Patient Care During Hospitalizationat the time of discharge (about a week after surgery)
Length of Hospital Stayat the time of discharge (about a week after surgery)
Number of Participants Who Require of Opioids at the Time of Dischargeat the time of discharge (about a week after surgery)
Number of Participants Who Utilize Patient-controlled Analgesia (PCA)from the time immediately after surgery to post-operative day 3
Amount of Patient-controlled Analgesia (PCA) Usedfrom the time immediately after surgery to post-operative day 3

Countries

United States

Participant flow

Participants by arm

ArmCount
Intercostal Nerve Cryoablation Plus SOC Pain Control
Standard of Care (SOC) Intercostal Nerve Cryoablation: Patients will receive intraoperative intercostal nerve cryoablation using CryoICE® CRYO2 cryoablation probes (AtriCure, Inc) to intercostal spaces 4th to 10th in thoracoabdominal aortic repairs and 4th to 8th in descending thoracic aortic repair cases prior to wound closure. Bupivacaine liposomal injectable suspension: Patients from both groups will receive the same volume of diluted Exparel®, which will be given in four 20ml syringes using 22-gauge needles (266mg of liposomal bupivacaine, equivalent of one 1.3% 20ml vial of EXPAREL, diluted in 50ml of preservative-free normal (0.9%) sterile saline for a total volume of 70ml). Patient-controlled analgesia (PCA): Patients will have access to the standard PCA (Patient-Controlled Analgesia) offered at the Memorial Hermann Hospital - Texas Medical Center. The PCA drug will be Dilaudid (hydromorphone). Initial dosing will be per the standard hospital protocol of 0.2 mg demand dose, 10-minute lockout, 2 mg per hour max, 0.4 mg rescue dose. Adjustments to the PCA dosing will be made based on clinical needs.
10
Standard of Care (SOC) Pain Control
Bupivacaine liposomal injectable suspension: Patients from both groups will receive the same volume of diluted Exparel®, which will be given in four 20ml syringes using 22-gauge needles (266mg of liposomal bupivacaine, equivalent of one 1.3% 20ml vial of EXPAREL, diluted in 50ml of preservative-free normal (0.9%) sterile saline for a total volume of 70ml). Patient-controlled analgesia (PCA): Patients will have access to the standard PCA (Patient-Controlled Analgesia) offered at the Memorial Hermann Hospital - Texas Medical Center. The PCA drug will be Dilaudid (hydromorphone). Initial dosing will be per the standard hospital protocol of 0.2 mg demand dose, 10-minute lockout, 2 mg per hour max, 0.4 mg rescue dose. Adjustments to the PCA dosing will be made based on clinical needs.
10
Total20

Baseline characteristics

CharacteristicIntercostal Nerve Cryoablation Plus SOC Pain ControlStandard of Care (SOC) Pain ControlTotal
Age, Categorical
<=18 years
0 Participants1 Participants1 Participants
Age, Categorical
>=65 years
3 Participants1 Participants4 Participants
Age, Categorical
Between 18 and 65 years
7 Participants8 Participants15 Participants
Age, Continuous55.3 years
STANDARD_DEVIATION 9.63
54.4 years
STANDARD_DEVIATION 14.75
54.85 years
STANDARD_DEVIATION 13.2
Race/Ethnicity, Customized
Race/Ethnicity
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Asian
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Black or African American
2 Participants3 Participants5 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Hispanic
2 Participants1 Participants3 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race/Ethnicity
White
6 Participants6 Participants12 Participants
Region of Enrollment
United States
10 participants10 participants20 participants
Sex: Female, Male
Female
2 Participants1 Participants3 Participants
Sex: Female, Male
Male
8 Participants9 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 102 / 10
other
Total, other adverse events
0 / 100 / 10
serious
Total, serious adverse events
0 / 100 / 10

Outcome results

Primary

5-point Satisfaction Scale

The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied.

Time frame: post-operative day 30

Population: Data were not collected for 4 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 6 participants in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain Control5-point Satisfaction Scale5 score on a scale
Standard of Care (SOC) Pain Control5-point Satisfaction Scale4.5 score on a scale
Primary

5-point Satisfaction Scale

The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied.

Time frame: post-operative day 5

Population: Data were not collected for 2 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 1 participant in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain Control5-point Satisfaction Scale4.5 score on a scale
Standard of Care (SOC) Pain Control5-point Satisfaction Scale4 score on a scale
Primary

5-point Satisfaction Scale

The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied.

Time frame: post-operative day 3

Population: Data were not collected for 2 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 2 participants in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain Control5-point Satisfaction Scale5 score on a scale
Standard of Care (SOC) Pain Control5-point Satisfaction Scale3.5 score on a scale
Primary

5-point Satisfaction Scale

The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied.

Time frame: post-operative day 4

Population: Data were not collected for 2 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 1 participant in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain Control5-point Satisfaction Scale5 score on a scale
Standard of Care (SOC) Pain Control5-point Satisfaction Scale3 score on a scale
Primary

5-point Satisfaction Scale

The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied.

Time frame: post-operative day 180

Population: Data were not collected for 3 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 3 participants in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain Control5-point Satisfaction Scale5 score on a scale
Standard of Care (SOC) Pain Control5-point Satisfaction Scale5 score on a scale
Primary

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference.

Time frame: baseline

Population: Data were not collected for 1 participant in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score2.3 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score0.1 score on a scale
Primary

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference.

Time frame: post-operative day 180

Population: Data were not collected for 3 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 3 participants in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score0 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score0 score on a scale
Primary

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference.

Time frame: post-operative day 3

Population: Data were not collected for 2 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 2 participants in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score1.8 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score3.2 score on a scale
Primary

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference.

Time frame: post-operative day 4

Population: Data were not collected for 5 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 2 participants in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score1.1 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score2.9 score on a scale
Primary

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference.

Time frame: post-operative day 5

Population: Data were not collected for 5 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 4 participants in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score.4 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score4.6 score on a scale
Primary

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference.

Time frame: post-operative day 30

Population: Data were not collected for 4 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 6 participants in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score2.4 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Pain Interference Score0.1 score on a scale
Primary

Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine.

Time frame: post-operative day 180

Population: Data were not collected for 1 participant in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 1 participant in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Severity Score2 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Severity Score4 score on a scale
Primary

Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine.

Time frame: post-operative day 5

Population: Data were not collected for 2 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 1 participant in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Severity Score4.75 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Severity Score7 score on a scale
Primary

Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine.

Time frame: post-operative day 30

Population: Data were not collected for 1 participant in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 1 participant in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Severity Score5 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Severity Score7 score on a scale
Primary

Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine.

Time frame: post-operative day 4

Population: Data were not collected for 2 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 1 participant in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Severity Score4.25 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Severity Score7 score on a scale
Primary

Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine.

Time frame: baseline

Population: Data were not collected for 1 participant in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Severity Score3 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Severity Score6 score on a scale
Primary

Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine.

Time frame: post-operative day 3

Population: Data were not collected for 2 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 2 participants in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlBrief Pain Inventory (BPI) - Severity Score5 score on a scale
Standard of Care (SOC) Pain ControlBrief Pain Inventory (BPI) - Severity Score6 score on a scale
Primary

Score on Numeric Pain Scale (NPS)

The NPS measures the intensity of pain. The total score ranges from 0 to 10, with 0 being no pain and 10 the highest pain.

Time frame: post-operative day 5

Population: Data were not collected for 2 participants in the Intercostal Nerve Cryoablation plus SOC Pain Control arm. Data were not collected for 1 participant in the Standard of Care (SOC) Pain Control arm.

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlScore on Numeric Pain Scale (NPS)1.5 score on a scale
Standard of Care (SOC) Pain ControlScore on Numeric Pain Scale (NPS)3 score on a scale
Secondary

Amount of Patient-controlled Analgesia (PCA) Used

Time frame: from the time immediately after surgery to post-operative day 3

Population: Data were not collected for this outcome measure.

Secondary

Hospital Cost for Patient Care During Hospitalization

Time frame: at the time of discharge (about a week after surgery)

Population: Data were not collected for this outcome measure.

Secondary

Length of Hospital Stay

Time frame: at the time of discharge (about a week after surgery)

ArmMeasureValue (MEDIAN)
Intercostal Nerve Cryoablation Plus SOC Pain ControlLength of Hospital Stay10.5 days
Standard of Care (SOC) Pain ControlLength of Hospital Stay8 days
Secondary

Number of Participants Who Attain Physical Therapy Goal That Justifies Discharge From Inpatient Physical Therapy Within 72 Hours

Time frame: 72 hours after surgery

Population: Data were not collected for this outcome measure.

Secondary

Number of Participants Who Require of Opioids at the Time of Discharge

Time frame: at the time of discharge (about a week after surgery)

Population: Data were not collected for this outcome measure.

Secondary

Number of Participants Who Utilize Patient-controlled Analgesia (PCA)

Time frame: from the time immediately after surgery to post-operative day 3

Population: Data were not collected for this outcome measure.

Secondary

Total Amount in mg of Opioid Medication Consumed

Time frame: third to fifth post-operative days after surgery

Population: Data were not collected for this outcome measure.

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026