Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12616001629426p
Ethics application status
Not yet submitted
Date submitted
19/11/2016
Date registered
24/11/2016
Date last updated
24/11/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
A comparison of transversus abdominis plane (TAP) block vs port site infiltration: pain levels and analgesia requirements in women undergoing gynaecological laparoscopy.
Query!
Scientific title
A comparison of transversus abdominis plane (TAP) block and port site infiltration for analgesia in gynaecological laparoscopy.
Query!
Secondary ID [1]
290577
0
None
Query!
Universal Trial Number (UTN)
U1111-1190-0825
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Postoperative pain
301033
0
Query!
Condition category
Condition code
Anaesthesiology
300824
300824
0
0
Query!
Pain management
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Transversus abdominis plane (TAP) regional block using 20ml of 0.75% ropivacaine placed under laparoscopic direct vision by surgeon at end of operation.
Query!
Intervention code [1]
296442
0
Treatment: Drugs
Query!
Comparator / control treatment
Local anaesthetic infiltration around laparoscopic port sites using up to 20ml of 0.75% ropivacaine, with the exact volume at the discretion of the surgeon.
Query!
Control group
Active
Query!
Outcomes
Primary outcome [1]
300246
0
Pain as measured by the visual analogue scale.
Query!
Assessment method [1]
300246
0
Query!
Timepoint [1]
300246
0
Two hours after arriving in the post-anaesthesia care unit.
Query!
Secondary outcome [1]
329490
0
Pain as measured by the visual analogue score 24 hours after arrival in the post-anaesthesia care unit.
Query!
Assessment method [1]
329490
0
Query!
Timepoint [1]
329490
0
24 hours after arrival in the post-anaesthesia care unit.
Query!
Secondary outcome [2]
329491
0
Amount of fentanyl used in the post-anaesthesia recovery unit measured in micrograms.
Query!
Assessment method [2]
329491
0
Query!
Timepoint [2]
329491
0
During stay in the PACU.
Query!
Eligibility
Key inclusion criteria
Women undergoing gynaecological laparoscopy over 18 years of age.
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
Known allergy or intolerance to study drugs including sulfa drugs, local anaesthetic drugs, morphine, oxycodone or fentanyl.
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sequence is generated by http://sealedenvelope.com
Surgeon visits site and obtains treatment allocation. This with patient's trial number is emailed to principal investigator. Anaesthetist, and all staff assessing outcomes postoperatively are blinded to the manner of local anaesthetic instillation. Surgeon is not blinded.
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random permuted block randomization via sealedenvelope.com
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Phase 4
Query!
Type of endpoint/s
Efficacy
Query!
Statistical methods / analysis
Unpaired t-test comparing means.
Query!
Recruitment
Recruitment status
Not yet recruiting
Query!
Date of first participant enrolment
Anticipated
1/02/2017
Query!
Actual
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
58
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
VIC
Query!
Recruitment hospital [1]
6956
0
Epworth Freemasons - Melbourne
Query!
Recruitment hospital [2]
6957
0
Cabrini Hospital - Malvern - Malvern
Query!
Recruitment hospital [3]
6958
0
Cabrini Brighton - Brighton
Query!
Recruitment postcode(s) [1]
14647
0
3002 - Melbourne
Query!
Recruitment postcode(s) [2]
14648
0
3144 - Malvern
Query!
Recruitment postcode(s) [3]
14649
0
3186 - Brighton
Query!
Funding & Sponsors
Funding source category [1]
295010
0
Self funded/Unfunded
Query!
Name [1]
295010
0
Dr Mark Suss
Query!
Address [1]
295010
0
Victoria Parade Anaesthetic Service
Suite 505/100 Victoria Parade
East Melbourne
VIctoria 3002
Query!
Country [1]
295010
0
Australia
Query!
Funding source category [2]
295041
0
Hospital
Query!
Name [2]
295041
0
Epworth Healthcare
Query!
Address [2]
295041
0
320 Victoria Parade, East Melbourne VIC 3002
Query!
Country [2]
295041
0
Australia
Query!
Primary sponsor type
Individual
Query!
Name
Dr Mark Suss
Query!
Address
Victoria Parade Anaesthetic Services
Suite 505/100 Victoria Parade
East Melbourne
Victoria 3002
Query!
Country
Australia
Query!
Secondary sponsor category [1]
293828
0
None
Query!
Name [1]
293828
0
none
Query!
Address [1]
293828
0
Query!
Country [1]
293828
0
Query!
Other collaborator category [1]
279315
0
Individual
Query!
Name [1]
279315
0
Dr Catarina Ang
Query!
Address [1]
279315
0
Royal Women's Hospital
Consulting Address:
315 Wattletree Road
Malvern East
Victoria 3145
Query!
Country [1]
279315
0
Australia
Query!
Ethics approval
Ethics application status
Not yet submitted
Query!
Ethics committee name [1]
296366
0
Epworth Healthcare HREC
Query!
Ethics committee address [1]
296366
0
Mailbox #4 Epworth HealthCare 89 Bridge Road Richmond VIC 3121
Query!
Ethics committee country [1]
296366
0
Australia
Query!
Date submitted for ethics approval [1]
296366
0
24/11/2016
Query!
Approval date [1]
296366
0
Query!
Ethics approval number [1]
296366
0
Query!
Summary
Brief summary
Laparoscopic (‘keyhole’) surgery is used to perform many different types of gynaecological surgery. These include diagnosis of reasons why pregnancy has not been possible, diagnosis of abdominal pain, and treatment of endometriosis (which is painful, abnormal tissue in the abdomen (belly). It also includes procedures using a robot to aid surgery, and removal of organs or abnormal growths. There are several causes of pain after this sort of surgery. One cause of pain is local damage to the wall of the abdomen due to the tubes that run into the abdomen that make keyhole surgery possible. For a long time surgeons have used local anaesthetic in small amounts that is injected into the holes or ‘port sites’ where these tubes are inserted. More recently a different way of giving local anaesthetic has become popular. This is called the ‘TAP block’ which stands for “transversus abdominis plane” block. The name simply means that it is injected alongside the transversus muscle in the wall of the abdomen. Anaesthetists tend to use an ultrasound probe to take a picture and place this at the right depth, but for surgeons to place it laparoscopically while they operate is also a recognised technique. This study will investigate whether the infiltration method or TAP method of giving local anaesthetic is more effective by measuring pain on a scale of 1 to 10 just after surgery and 24 hours after surgery. The surgeon will be instructed to perform either the TAP block or infiltration based on the patient’s randomisation. The anaesthetist, recovery staff, and patient will be blinded, so unaware of what the patient has received. The surgeon, who is not blinded, will not be involved in any measurement of pain scores. Patients undergoing any type of gynaecological keyhole surgery will be accepted. TAP blocks have been looked at in many trials now. There are some aspects to this trial which would be novel in combination and would add to our knowledge base. The surgeon would be giving the block. This approach has been used relatively rarely. By doing away with the need to keep the patient asleep while the anaesthetic performs the block and gets set up with an ultrasound machine, the block can be performed with minimal delay to the list. This is a ‘real-world’ trial which compares two commonly-used techniques, rather than comparing TAP blocks to injection of saline, which means that a convincing result would guide the choice to use one or the other. This trial is not restricted to some subgroup of gynaecology patient; it would look at a cross-section of any day-case or inpatient laparoscopic gynaecology population.
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
70594
0
Dr Mark Suss
Query!
Address
70594
0
Victoria Parade Anaesthetic Services
Suite 505, 100 Victoria Parade
East Melbourne
Victoria 3002
Query!
Country
70594
0
Australia
Query!
Phone
70594
0
+61390389333
Query!
Fax
70594
0
Query!
Email
70594
0
[email protected]
Query!
Contact person for public queries
Name
70595
0
Mark Suss
Query!
Address
70595
0
Victoria Parade Anaesthetic Services
Suite 505, 100 Victoria Parade
East Melbourne
Victoria 3002
Query!
Country
70595
0
Australia
Query!
Phone
70595
0
+61390389333
Query!
Fax
70595
0
Query!
Email
70595
0
[email protected]
Query!
Contact person for scientific queries
Name
70596
0
Mark Suss
Query!
Address
70596
0
Victoria Parade Anaesthetic Services
Suite 505, 100 Victoria Parade
East Melbourne
Victoria 3002
Query!
Country
70596
0
Australia
Query!
Phone
70596
0
+61390389333
Query!
Fax
70596
0
Query!
Email
70596
0
[email protected]
Query!
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.
Download to PDF