Clinical trial Recruiting at 1 site Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment40 (estimated)
SponsorAsklepios Kliniken Hamburg GmbH
Academic / other
Locations1 site (Schwedt, Brandenburg)
StatusRecruiting
StartedOctober 6, 2025
Main results expectedAugust 2027
Study endsSeptember 2027
Registry record updatedOctober 28, 2026
Trial IDNCT07099924 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

Similar studies

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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.