Efficacy of Postoperative Epidural Anesthesia Following Abdominoplasty

Study Overview
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Brief Summary
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Effective postoperative pain management is essential for patient satisfaction and therefore intraoperative regional nerve blocks have become more and more popular in abdominoplasties. However, the key disadvantage of these blocks are their limited duration of action. This observational study evaluates the effects of a longer- lasting, individualized epidural analgesia using a pain pump to better classify the clinical value of this procedure.

Detailed Description
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This work reviews the digital medical charts of patients who underwent selective abdominoplasty without additive surgical procedures within a period of 4 years. Evaluated data comprise the postoperative analgesia regimen, including on-demand medication, mobilization time, inpatient length of stay, and clinical outcome. The patients were grouped by the presence of an epidural catheter.

Official Title
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Efficacy of Postoperative Epidural Anesthesia Following Abdominoplasty

Conditions
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Anesthesia, Abdominoplasty

Intervention / Treatment
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* Procedure: Epidural anesthesia


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Patients who underwent abdominoplasty Exclusion Criteria: • Patients who underwent abdominoplasty combined with additional intraoperative procedures (e.g., liposuction, hernia repair) were excluded
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with epidural anesthesia<br>Patients following Abdominoplasty with postoperative epidural anesthesia via pain catheter | Procedure: Epidural anesthesia<br>* Postoperative pain management by epidural anesthesia via epidural catheter and pain pump<br>|
| Patients without epidural anesthesia<br>Patients following Abdominoplasty without postoperative epidural anesthesia | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| frequency of retrieval of the on-demand non-epidural opiate | frequency of retrieval of the on-demand non-epidural opiate as a measure of perceived pain discomfort | from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative mobilization ability | the time at which the patient was able to move at room level with the assistance of a nurse (assisted full mobilization), the time at which the patient was able to get out of bed independently and move without assistance (independent full mobilization) | from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days | 
| timing of urinary catheter removal | timing of urinary catheter removal after surgery | from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days | 
| length of hospital stay | number of days from the day of surgery until dischargement | from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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abdominoplasty, postoperative analgesia, regional anesthesia, epidural anesthesia, epidural catheter