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Effects of anaesthetic technique on inflammatory stress response following laparoscopic hysterectomy in endometrial cancer patients: general anaesthesia combined with Transverse Abdominal Plane blockade (TAP) versus general anaesthesia and thoracic epidural analgesia (TEA).

Effects of anaesthetic technique on inflammatory stress response following laparoscopic hysterectomy in endometrial cancer patients: general anaesthesia combined with Transverse Abdominal Plane blockade (TAP) versus general anaesthesia and thoracic epidural analgesia (TEA). - TAP versus TEA

Status
Unknown
Phases
Unknown
Study type
Observational
Source
NL-OMON
Registry ID
NL-OMON43516
Enrollment
30
Registered
2016-03-07
Start date
Unknown
Completion date
Unknown
Last updated
2024-04-23

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

Conditions

endometrium cancer Endometrium carcinoma

Interventions

None listed

Sponsors

Antoni van Leeuwenhoek Ziekenhuis
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: * Patients scheduled for elective laparoscopic hysterectomy, laparoscopic staging procedures, laparoscopic radical hysterectomy. * Adult patients (older than 18 years of age) * Written informed consent * Understanding of Dutch or English language

Exclusion criteria

Exclusion criteria: * Non-elective surgery * Any contraindication to neuraxial blockade (including coagulopathy, abnormal anatomy) * Allergy to amide-linked local anaesthetics, especially bupivacaine * Known psychiatric disorder * Chronic pain patients or patients already using morphine pre-operatively

Design outcomes

Primary

MeasureTime frame
Levels of cytokines (pro- and anti-inflammatory), procalcitonin, NLR and C-reactive protein

Secondary

MeasureTime frame
1) Intensity of wound pain at rest and during movement by Numeric Rating Scale 2) The number of milligrams of opioids and NSAID consumed by the patient. 3) Health-related quality of life (HR-QOL) will be determined by EuroQol instrument (EQ-5D). 4) Side effects such arrhythmias, hemodynamic changes and post epidural headache will be registered and recorded as absent or present. 5) Length of hospital stay will be calculated and expressed in number of days.

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)