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Trial registered on ANZCTR
Registration number
ACTRN12612000737831
Ethics application status
Approved
Date submitted
25/05/2012
Date registered
10/07/2012
Date last updated
30/05/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
The pain relief after key hole surgery for gall bladder : Is infiltration of wound with Local anaesthetics is better than the injecting in to the abdominal wall.
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Scientific title
Comparison of Local Anaesthetic wound Infiltration and Transversus Abdominis Plane (TAP) Block for pain releif in Laparoscopic Cholecystectomy surgery - A Retrospective Study
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Secondary ID [1]
280516
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NIL
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Universal Trial Number (UTN)
Nil
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Laparoscopic cholecystectomy
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pain management studied
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Condition category
Condition code
Anaesthesiology
286766
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0
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Pain management
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Not applicable - Observational study: in this study no experimental intervention or treatment is applied.It involves observations done in the retrospective manner.Data obtained from hospital database from yr Dec-2011-June-2012 Acute pain service data also used.Since the surgery has already been done there is no intervention in that course. But the satisfaction outcomes are measured by doing a likert score to observe what extent these methods benefited in each group.
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Intervention code [1]
284892
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Not applicable
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Comparator / control treatment
There are only two groups
Active group: Wound infiltration group ( Bupivacaine)
The comparator group: The transversus abdominis plane (TAP) (Mode of administration of bupivacaine in TAP plane.)
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary out come:1. compare the immediate postoperative pain score at 0hr 1hr in recovery room
pain scores assesed on numerical rating scale of 0-10
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Assessment method [1]
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Timepoint [1]
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pain scores and Discharge Time in recovery and ward
Pain scores assesed on numerical rating scale of 0-10
Time in minutes
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Primary outcome [2]
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2.Amount of analgesics used in the immediate postoperative period in Recovery room and Ward. Out come will be assessed by using the Acute pain service data for pain scores and also from the inpatient medical records.
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Assessment method [2]
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Timepoint [2]
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0 hr 1hr in recovery room and in ward
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Secondary outcome [1]
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Quality of pain relief assesed on Likert scale for satisfaction : 4 point rating used: 1. completely relieved; 2. relieved; 3. somewhat relieved; and 4. not relieved.
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Assessment method [1]
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Timepoint [1]
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single time point 30-180 days post discharge
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Eligibility
Key inclusion criteria
Only patients who had laparoscopic cholecystectomy
Only patient with Laporoscopic cholecystectomy who had Bupivacaine 0.25% local anesthetic
Only patient with Laporoscopic cholecystectomy who had TAP block with Bupivacaine 0.25% local anesthetic
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who had not received Local anaesthetics as above And patient who had not recived TAP block methods. Patients with insufficient data
patient who were not able to interview for satisfaction score
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
Group differences on continuous variables were assessed using the Wilcoxon (Mann-Whitney) test. Differences on dichotomous measures were assessed using Pearson’s Chi-square statistic or Fisher’s Exact test as appropriate. All tests were two-tailed and statistical significance was assessed at a 5% alpha level.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
29/05/2012
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Actual
29/05/2012
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Date of last participant enrolment
Anticipated
29/07/2013
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Actual
29/07/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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The Queen Elizabeth Hospital - Woodville
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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NIL
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Address [1]
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NIL
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Country [1]
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Primary sponsor type
Individual
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Name
vasanth Rao
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Address
28 Woodville rd
Woodville
SA 5011
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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HUMAN RESEARCH ETHICS COMMITTEE (TQEH/LMH/MH)
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Ethics committee address [1]
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The Queen Elizabeth Hospital 28 Woodville Road Woodville South SA 5011
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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18/04/2012
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Ethics approval number [1]
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2011148
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Summary
Brief summary
The key hole gall bladder surgery is one of the commonest surgery performed. there are various methods used for pain relief after the surgery.Traditionally local anaesthetics is injected into the wounds.Recently by ultrsound guidance local anaesthetics were injected into the abdonminal planes (transverses abdominis plane).The nerves supply the the entire abdominal wall. Recent trials did show they benefit in abdominal surgery. So far only one trial compared these two methods.The purpose of this trial is to find out which one of them did better in regards to pain releief. Also patient satisfaction score may reveal which of these methods were acceptable
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Trial website
not available
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Trial related presentations / publications
Comparison of Ultra sound guided Bilateral subcostal Transversus abdominis plane block vs Local Anaesthetic infiltration technique for laparoscopic cholecystectomy- Retrospective study V.Rao Kadam*, S.Howell, V.Kadam 15/04/2014. E-Poster presented at the AUstralian pain society meeting Hobart. The citatation is only in the conference proceedings but not in the Journal yet
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Public notes
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Contacts
Principal investigator
Name
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Dr vasanth rao kadam
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Address
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The Queen Elizabeth Hospital 28 Woodville Road Woodville South SA 5011
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Country
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Australia
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Phone
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+610882226640
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Vasanth rao
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Address
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The Queen Elizabeth Hospital
28 Woodville Road
Woodville South SA 5011
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Country
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Australia
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Phone
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+61 08 8222 6440
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Fax
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+61 08 8222 7065
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Email
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[email protected]
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Contact person for scientific queries
Name
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Vasanth rao
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Address
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The Queen Elizabeth Hospital
28 Woodville Road
Woodville South SA 5011
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Country
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Australia
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Phone
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+61 08 8222 6440
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Fax
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+61 08 8222 7065
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Evaluation of postoperative pain scores following ultrasound guided transversus abdominis plane block versus local infiltration following day surgery laparoscopic cholecystectomy-retrospective study.
2016
https://dx.doi.org/10.4103/0970-9185.168195
N.B. These documents automatically identified may not have been verified by the study sponsor.
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