Rectus sheath catheters after midline abdominal surgery
Official title: Bilateral Rectus Sheath Catheters Following Midline Laparotomy. A Randomized, Placebo-controlled Trial
Run by Asklepios Kliniken Hamburg GmbH · NCT07099924 · Data updated 2026-11-12
This study tests whether using rectus sheath catheters with local anesthetic provides better pain relief after midline laparotomy compared with a placebo in adults.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Asklepios Kliniken Hamburg GmbH Academic / other |
| Locations | 1 site (Schwedt, Brandenburg) |
| Status | Recruiting |
| Started | October 6, 2025 |
| Main results expected | August 2027 |
| Study ends | September 2027 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT07099924 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years or older undergoing median laparotomy who consent and have no listed exclusions.
✕Probably not a fit
Patients with contraindications to local anesthetics or who do not experience analgesic benefit may not benefit from the technique.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults undergoing median laparotomy are randomized to receive either ropivacaine via rectus sheath catheters or placebo as part of a multimodal analgesia plan after surgery. The trial uses a placebo-controlled, blinded design with randomization performed on the day of surgery and standard anesthesia and monitoring. Primary outcomes include maximum postoperative pain, QoR-15GE recovery score, and opioid use in the first 72 hours. The study aims to determine if rectus sheath catheters add meaningful analgesia in patients for whom thoracic epidurals may be unsuitable or refused.
Why it matters
Potential benefit: If successful, patients may experience better pain control and recovery after midline abdominal surgery with reduced opioid needs.
How similar studies have gone: Previous work has explored regional analgesia for abdominal surgery, with mixed results; this trial adds a placebo-controlled evaluation of rectus sheath catheters.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Median laparotomy * Age over 18 years * Informed consent has been obtained Exclusion Criteria: * Local signs of inflammation * known allergy to local anesthetics used * chronic pain syndrome * drug addiction * post-operative ventilation that cannot be completed on the day of surgery * lack of consent or cooperation * pregnancy * participation in another medical study * sepsis
Where it's running
-
Asklepios Medical Center Uckermark
Schwedt, Brandenburg, Germany Recruiting
Study contacts
- Principal investigator: Ronald Seidel, Dr.med. — Asklepios Klinikum Uckermark
- Study coordinator: Ronald Seidel, Dr.med.
- Email: ro.seidel@asklepios.com
- Phone: +49 3332 534521
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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.