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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 110 (estimated) |
| Sponsor | Centre Hospitalier Régional Metz-Thionville Academic / other |
| Locations | 2 sites (Metz, Moselle and 1 other locations) |
| Status | Recruiting |
| Started | October 11, 2021 |
| Main results expected | October 10, 2028 |
| Study ends | April 10, 2029 |
| Registry record updated | December 16, 2025 |
| Trial ID | NCT04985695 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
- Principal investigator: Antoine BECRET, MD — CHR Metz Thionville Hopital de Mercy
- Study coordinator: Arpiné EL NAR, PhD
- Email: arpine.el-nar@chr-metz-thionville.fr
- Phone: 0033387557766
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Dexa vs Dexmedetomidine with Bupivacaine in TAP Block for Laparotomy Analgesia
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.