Laparoscopic-guided TAP Block vs Epidural Analgesia

  • STATUS
    Recruiting
  • End date
    Dec 31, 2025
  • participants needed
    210
  • sponsor
    Oulu University Hospital
Updated on 24 March 2022
Accepts healthy volunteers

Summary

The LAPTAP trial will provide evidence on preferred post-operative analgesia method in elective laparoscopic colon surgery.

Description

In most previous studies TAP-block has been inserted by anesthesiologist under ultrasound guidance. TAP blockade can alternatively be performed by a surgeon with laparoscopic visual guidance during trocar placement by aiming injection into fascial plane between the internal oblique and transversus abdominis in the midaxillary line and repeated on the contralateral side. There is lack in studies comparing laparoscopic guided TAP-blockade versus epidural pain analgesia in elective laparoscopic colon surgery exist.

Details
Condition Post Operative Pain
Treatment Safety and efficiency of post operative analgesia between laparoscopic-assisted TAP block and epidural analgesia
Clinical Study IdentifierNCT05214261
SponsorOulu University Hospital
Last Modified on24 March 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients who undergo elective laparoscopic colorectal surgery for colorectal neoplasia, diverticulitis, and other diseases of the colon and rectosigmal area
Patients able to provide informed written consent
Patients capable of completing questionnaires at the time of consent

Exclusion Criteria

Documented allergic reaction to morphine, hydromorphone, lidocaine, bupivacaine, fentanyl and/or oxycodone
Contra-indication to placement of epidural catheter (spinal stenosis, spinal fusion, elevated international normal ratio (INR), anticoagulation, patient refusal, etc.) or TAP block (patient refusal)
Urgent or emergent surgery precluding epidural catheter placement or TAP block
Systemic Infection contraindicating epidural catheter placement or TAP block
Rectal surgery
Pregnant or suspected pregnancy
Age < 18 years
Planned open surgery
Planned bowel stoma (protective diversion and/or permanent stoma)
Unwillingness to participate in follow-up assessments
Patients with severe chronic pain
Known sensibility for opioid side effects
i.v.-PCA is contraindicated (for example drug abuse)
No informed consent
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