Clinical trial NCT05822882: Efficacy of Postoperative Epidural Anesthesia Following Abdominoplasty
Official title: Efficacy of Postoperative Epidural Anesthesia Following Abdominoplasty
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Anesthesia
Abdominoplasty
Keywords: abdominoplasty
postoperative analgesia
regional anesthesia
epidural anesthesia
epidural catheter
Lead sponsor: Klinik Bogenhausen
Sponsor class: OTHER
Collaborators: name: ISAR Klinikum
First posted: 2023-04-21
Enrollment: 112
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: RETROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Patients who underwent abdominoplasty at the Department of Plastic Surgery, ISAR Klinikum, Munich, Germany, between September 2018 and August 2022

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

• Patients who underwent abdominoplasty

Exclusion Criteria:

• Patients who underwent abdominoplasty combined with additional intraoperative procedures (e.g., liposuction, hernia repair) were excluded

Primary outcomes:
measure: frequency of retrieval of the on-demand non-epidural opiate
timeFrame: 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 outcomes:
measure: postoperative mobilization ability
timeFrame: 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
measure: timing of urinary catheter removal
timeFrame: 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
measure: length of hospital stay
timeFrame: 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
Other outcomes:
Locations:
city: München
country: Germany
facility: ISAR Klinikum
state: Bayern
Study officials:
affiliation: ISAR Klinikum
name: Ulf Dornseifer, MD
role: PRINCIPAL_INVESTIGATOR
References: