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Trial registered on ANZCTR
Registration number
ACTRN12616001024437
Ethics application status
Approved
Date submitted
10/12/2015
Date registered
2/08/2016
Date last updated
2/08/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of continuous preperitoneal infusion of ropivacaine as postoperative analgesia in patients undergoing major abdominopelvic surgeries for resection of tumours
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Scientific title
The effect of continuous preperitoneal infusion of ropivacaine as postoperative analgesia in patients undergoing major abdominopelvic surgeries for resection of tumours
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Secondary ID [1]
288112
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
The problem studied is pain after major abdominal and pelvic surgeries resection of tumours
296984
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Condition category
Condition code
Cancer
298887
298887
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The patients will be divided into two groups .The first groups will receive continuous epidural infusion for analgesia and the second groups will receive continuous preperitoneal infusion for analgesia. The intervention group is the preperitoneal group in which a multiholed catheter will be placed by surgeon in the preperitoneal space at the end of surgery giving ropivacaine 0.5% 5ml/h by continuous infusion for 48 hours postoperative after giving bolus dose of 15 ml of lidocaine 2%
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Intervention code [1]
293421
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Treatment: Drugs
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Comparator / control treatment
After resection of abdominal or pelvic tumours patients will be randomaly divided into two equal groups .The first group will have an epidural catheter as a sole of postoperative analgesia .While the second group will have continuous preperitonial catheter as an alternative analgesia. The comparator group will have epidural catheter giving 15 ml of xylocaine 2% as bolus dose followed by ropivacaine continuous infusion 0.5% 5ml/h for 48 hours postoperative
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Control group
Active
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Outcomes
Primary outcome [1]
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postoperative pain as measured by visual analogue score
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Assessment method [1]
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Timepoint [1]
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immediate after surgery,1h,2h,4h,6h,8h,12h,18h,and24h,48h,and lastly 72h
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Primary outcome [2]
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total analgesic consumption assessed by patients medical charts
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Assessment method [2]
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Timepoint [2]
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after 48 hours
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Secondary outcome [1]
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heart rate measured by ECG,
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Assessment method [1]
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Timepoint [1]
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immediate postoperative,1h,2h,4h,6h,8h,10h,12h,18h,24h,48h,72h
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Secondary outcome [2]
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blood pressure assessed using a sphygmomanomerer
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Assessment method [2]
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Timepoint [2]
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immediate postoperative, 1h,2h,h,6h,8h,10h,12h,18h,24h,48h,72h
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Eligibility
Key inclusion criteria
1-ASA status 1 ,2,or three
2-aged between 20-80 years old
3-both sexes
4-patients scheduled for abdominal or pelvic resection of tumours
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Minimum age
20
Years
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Maximum age
80
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
1-patients refusal
2-allergy to local anesthetics
3-bleeding diathesis
4-patients on previous opioid therapy
5- Patients with psychiatric disorders
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
data will be analyzed using SPSS statistics for windows version 20.0.The mean and SD will be calculated for all continuous variables, and in case of normal distribution ,paired or independent test will be carried out ,whereas Mann-Whitney U test will be performed for normally distributed variables. G power program (3.0.10) was used to calculate sample size with priory analysis. VAS .Effect size was chosen as 0.8 (large effect size),alpha error was 0.05 and power of 0.8 was used .The resulted sample size was 20 patients for each group.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
15/05/2015
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Date of last participant enrolment
Anticipated
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Actual
1/12/2015
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Date of last data collection
Anticipated
1/03/2016
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Actual
1/05/2016
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Sample size
Target
40
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Accrual to date
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Final
6
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Recruitment outside Australia
Country [1]
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Egypt
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State/province [1]
7402
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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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REEM ABDEL RAOUF EL SHARKAWY
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Address [1]
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ANESTHESIA AND SURGICAL INTENSIVE CARE DEPARTMENT, ,MANSOURA UNIVERSITY HOSPITAL EGYPT
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Country [1]
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Primary sponsor type
Individual
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Name
reem abdelraouf el sharkawy
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Address
faculty of medicine Mansoura university,Mansoura ,Egypt
works as a lecture of anesthesia and surgical intensive care unit in Mansoura university Hospital
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Country
Egypt
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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]
291738
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Country [1]
291738
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294003
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Medical Research Ethics Committee in Faculty of Medicine ,Mansoura University
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Ethics committee address [1]
294003
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FACULTY OF MEDICINE ,MANSOURA UNIVERSITY ,EL GOMHURIA STREET ,DAKAHLIA GOVERNORATE 35516EL
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Ethics committee country [1]
294003
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Egypt
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Date submitted for ethics approval [1]
294003
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Approval date [1]
294003
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15/05/2015
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Ethics approval number [1]
294003
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R/15.05.03
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Summary
Brief summary
Postoperative pain after major abdoiminal and pelvic operation is a challenging issue. the ideal method of pain control is by inserting epidural catheter. But preperitonial catheter insertion is a new technique .So this study will be conducted to compare between two different techniques in control of pain postoperative.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr reem abdelraouf el sharkawy
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Address
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Faculty of Medicine, Mansoura University ,Mansoura , Dakahlia governorate 35516
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Country
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Egypt
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Phone
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+201006151100
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Fax
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Email
62086
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[email protected]
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Contact person for public queries
Name
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reem abdel raouf el sharkawy
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Address
62087
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Faculty of Medicine, Mansoura University, Mansoura ,Dakahlia governorate 35516
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Country
62087
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Egypt
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Phone
62087
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+201006151100
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Fax
62087
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Email
62087
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[email protected]
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Contact person for scientific queries
Name
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reem abdel raouf el sharkawy
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Address
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Faculty of Medicine, Mansoura University,Mansoura, Dakahlia governorate 35516
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Country
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Egypt
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Phone
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+201006151100
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Fax
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Email
62088
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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
No additional documents have been identified.
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