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CompletedNCT03481517Updated Apr 27, 2020

Wound Infiltration With Local Anesthetic Agent for Laparoscopic Appendectomy in Adult

A Phase 4 interventional study of Bupivacaine in Appendicitis Acute, sponsored by National Taiwan University Hospital. Completed at 1 site in Taiwan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2020-04-27.

Sponsored by National Taiwan University Hospital · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
47
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

Acute appendicitis is one of the most common acute abdomens that need surgical intervention. Laparoscopic surgery much decreases postoperative pain of wound, however, pain remains an important determinant of recovery after surgery. Intraoperative local anesthetic agent infiltrated locally into surgical wound to relieve postoperative pain is a feasible and safe method suggested in some literature. However, there is no routine use of this method in clinical practice because its benefit is still unknown. Besides, very few evidence could be found in literature review. To date, there is still no double blinded, prospective, randomized control trial addressing in evaluation of its interest. In this study, the investigators aim at investigating the benefit of wound infiltration with local anesthetic agent (bupivacaine) for laparoscopic appendectomy in adult. The study design is a double blind, prospective, randomized control trial with a 1:1 allocation ratio. Fifty adult patients with appendicitis will be included. The control group undergo laparoscopic appendectomy without wound infiltration with local anesthetic agent, the intervention group undergo laparoscopic appendectomy with wound infiltration with local anesthetic agent intraoperatively. The clinical characteristics, outcomes, and patient's satisfaction will be recorded and analyzed. The investigators hope this study can provide a high level evidence in pain management of patient undergo laparoscopic surgery.

02

Conditions studied

  • Appendicitis Acute

Keywords

  • adult
  • appendectomy
  • appendicitis
  • local anesthesia
  • pain
03

In context

Appendicitis

419 studies on the registry are indexed under Appendicitis; 67 are open to participants now.

This study's enrollment of 47 is below the median of 111 across 252 interventional studies indexed under Appendicitis.

Browse Appendicitis studies →

Lead sponsor

National Taiwan University Hospital is the lead sponsor of 2,615 studies on the registry; 576 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 2 (18%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Including criteria:

  1. Clinical diagnosis of appendicitis and undergo laparoscopic appendectomy
  2. Age more than 20 years
  3. Well comprehensive in speaking Chinese

Exclusion criteria:

  1. Age no more than 20 years
  2. Pregnancy
  3. Can not cooperate with evaluation
  4. Convert to open surgical method, resect more organs than appendix
  5. Using patient control analgesia
  6. Allergy to local anesthetic agent
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
47 participants (actual)

Study arms

  • Experimental
    Wound with local anesthesia

    5 mL Bupivacaine is injected into subcutaneous area near surgical wound

    Drug: Bupivacaine

  • No intervention
    Wound without local anesthesia

    Nothing is injected into subcutaneous area near surgical wound

Interventions

  • Bupivacaine 5 mL subcutaneous injection to surgical wound during operation.

    Also known as: Marcaine

06

What researchers measure

Primary outcomes

  1. Pain score of surgical wound of the patient

    Using Visual Analog Score (from 0 to 10, 0 indicate no pain and 10 indicate maximal pain) to evaluate pain of surgical wound of the patient

    Time frame: within 24 hours after surgery

Secondary outcomes

  1. Satisfaction of the patient

    Using questionnaire to evaluate satisfaction of the patient about surgery and hospitalization.

    Time frame: up to one month after surgery

07

Study locations

1 site
  • National Taiwan University Hospital
    Taipei, 100, Taiwan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 27, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03481517
Responsible party
Sponsor
First posted
Mar 29, 2018
Start date
Apr 23, 2018
Primary completion
Jul 8, 2019
Completion
Jul 31, 2019
Last update
Apr 27, 2020

Study contacts

Chih-Yang Hsiao, M.D.
principal investigator · National Taiwan University Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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