Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Comparing pain relief techniques after abdominal surgery

Official title: Influence of Analgesic Technique on Post Operative Rehabilitation After Median Laparotomy: Comparison Between Thoracic Epidural Anesthesia Versus Bilateral Rectus Sheath Block

Run by Centre Hospitalier Régional Metz-Thionville · NCT04985695 · Data updated 2026-11-12

This study is testing two different pain relief methods after abdominal surgery to see which one helps patients recover better.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment110 (estimated)
SponsorCentre Hospitalier Régional Metz-Thionville
Academic / other
Locations2 sites (Metz, Moselle and 1 other locations)
StatusRecruiting
StartedOctober 11, 2021
Main results expectedOctober 10, 2028
Study endsApril 10, 2029
Registry record updatedDecember 16, 2025
Trial IDNCT04985695 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults classified as ASA Class I-IV who are scheduled for midline laparotomy and can provide informed consent.

Probably not a fit

Patients with contraindications to local anesthetics or epidural analgesia, as well as those with severe medical conditions or who are pregnant, may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial is a randomized controlled trial that compares two different locoregional anesthesia techniques for patients undergoing midline laparotomy. One group will receive epidural anesthesia, while the other will receive a bilateral rectus sheath block. The study aims to assess the impact of these analgesic techniques on postoperative recovery, specifically using the Quality of Recovery-15 score. The trial is multicentric and open-label, focusing on improving postoperative rehabilitation outcomes.

Why it matters

Potential benefit: If successful, this study could lead to improved pain management and faster recovery for patients after abdominal surgery.

How similar studies have gone: Previous studies have shown promising results with similar locoregional anesthesia techniques, suggesting potential benefits over traditional epidural analgesia.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ASA (American Society of Anesthesiologists) Class I-IV adult, with programmed midline laparotomy
* Have given an informed written consent
* Able to read and understand french language
* Affiliation to a social security system

Exclusion Criteria:

* Local anesthesic contraindication (allergy, porphyria, haemolytic anaemia, uncontrolled epilepsy, or severe cardiac conduction disorders) or TEA (coagulation disorders, progressive neurological disease, or severe spinal disorder),
* Epidural analgesia contraindication
* With impossibility to set up bilateral rectus sheath block
* Participation in another clinical study
* Pregnant women
* Patients deprived of their liberty by a judicial or administrative decision,
* Patients undergoing psychiatric care under articles L.3212-1 and L.3213-1 of the French Public Health Code

Where it's running

  • CHR Metz Thionville Hopital de Mercy
    Metz, Moselle, France
    Recruiting
  • CHR Metz-Thionville Hopital Bel Air
    Thionville, France
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.