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CompletedNCT06014749Analgesic StraUpdated Jun 8, 2026

Serratus Intercostal Block Versus Epidural/Port Infiltration Analgesia in Eventration: Prospective Non Inferiority Study

A Phase 4 interventional study of undergo and ultrasound in Eventration, Regional Anesthesia and Epidural; Anesthesia, sponsored by Hospital del Rio Hortega. Completed at 1 site in Spain. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-06-08.

Sponsored by Hospital del Rio Hortega · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

Adequate pain control, rehabilitation and early postoperative recovery are currently the model to follow according to the recommended guidelines.In this project the main objective is to evaluate 2 different analgesic strategies, open and laparoscopic surgeries, both intraoperatively and postoperatively, one based on 1. Epidural analgesia and the other 2. Echoguided serratus intercostal block prior to surgical intervention in eventration or abdominal wall repair interventions. or 3 port infiltration and 4 SIPB in laparoscopy We conducted an prospective non inferiority study with a low level of intervention. Epidural analgesia prior to general anesthesia and serratus-intercostal block prior to general anesthesia) following the criteria applied in each case according to the operating room anesthesiologist until reaching the sample size and fulfilling the criteria of: abdominal eventration repair, over 18 years of age, ASA I-III. Signature of the IC. in laparoscopic surgery both techiques are applied after induction of general anaesthesia

Read the detailed description

Adequate pain control, rehabilitation and early postoperative recovery are currently model to follow according to the recommended guidelines.In this project the main objective is to evaluate 2 different analgesic strategies both intraoperatively and postoperatively, one based on 1. Epidural analgesia and the other 2. Echoguided serratus intercostal block prior to surgical intervention in eventration or abdominal wall repair interventions. or 3 port infiltration and 4 SIPB in laparoscopy The investigators conducted an non inferiority study with a low level of intervention. Epidural analgesia , serratus-intercostal block and port infiltration prior to general anesthesia) following the criteria applied in each case according to the operating room anesthesiologist until reaching the sample size and fulfilling the criteria of: abdominal eventration repair, over 18 years of age, ASA I-III. Signature of the IC.

We will assess the analgesia provided by the techniques in both techniques and to compare the results.

02

Conditions studied

  • Eventration
  • Regional Anesthesia
  • Epidural; Anesthesia
  • Abdominal Hernia

Keywords

  • Intercostal nerves, epidural,abdominal hernia
03

In context

Gastroschisis

42 studies on the registry are indexed under Gastroschisis; 6 are open to participants now.

This study's enrollment of 160 is above the median of 44 across 26 interventional studies indexed under Gastroschisis.

Browse Gastroschisis studies →

Lead sponsor

Hospital del Rio Hortega is the lead sponsor of 27 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • abdominal eventration repair,
  • over 18 years old,
  • .
  • Signature of the IC.

Exclusion criteria

Exclusion Criteria:

  • Allergy to Local anesthetic
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Single (Outcomes assessor)
Enrollment
160 participants (actual)

Study arms

  • Active comparator
    Patient under serratus intercostal plane block

    patients who will undergo a modified bilateral ultrasound-guided BRILMA block (SIPB) using a high-frequency linear probe (6-15 Hz) and 80 mm needle.

    Procedure: undergo · Device: ultrasound · Drug: Local anesthetic

  • Active comparator
    patient under epidural analgesia

    patients who undergo Epidural Analgesia prior to General Anesthesia and fentanyl 1 mcg/kg approx according to characteristics and needs and upon arrival at the URPA is connected to the PC Levobupi 0.125% at 6 ml / h + rescue boluses of Levobupi 0.125% 4 ml if needed in the 1st hours.

    Procedure: undergo · Drug: Local anesthetic

  • Active comparator
    port infiltration

    patients in the port infiltration group underwent local anaesthetic infiltration with 0.25% levobupivacaine at trocar sites, with the volume adjusted according to port number and size.

    Procedure: undergo · Drug: Local anesthetic

  • Active comparator
    SIPB

    SIPB group, an ultrasound-guided serratus intercostal plane block was performed after induction at the eighth rib level using 20 mL of 0.25% levobupivacaine.

    Procedure: undergo · Device: ultrasound · Drug: Local anesthetic

Interventions

  • Procedureundergo

    regional anesthesia

    Also known as: Eventroplasty

  • Deviceultrasound

    ultrasound guided

    Also known as: Regional anesthesia

  • local anesthetic

    Also known as: Regional anesthesia

06

What researchers measure

Primary outcomes

  1. postoperative pain management

    Pain control. NRS scale at O,6, 12 and 24 h in postoperative time

    Time frame: 24h

  2. postoperative quality of recovery

    Quality of recovery, QoR15 scale, that includes physical and psicological item. That scale will be fill by the patient 24 h after surgery

    Time frame: 24h

07

Study locations

1 site
  • Judith Andres
    Valladolid, Castille and León 47008, Spain
08

References and documents

Individual participant data

Plan to share: Undecided — During the first year the preliminary results will be ready and will be present as abstract. Th estimated time to finish the study is 2 years

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06014749
Lead sponsor
Hospital del Rio Hortega
Responsible party
Judith Andres (MD, Hospital del Rio Hortega) — Principal investigator
First posted
Aug 28, 2023
Start date
Oct 1, 2023
Primary completion
Jun 1, 2024
Completion
Feb 16, 2026
Last update
Jun 8, 2026

Study contacts

María T Fernandez, MD
study director · Hospital del Rio Hortega

Oversight

Data monitoring committee
Yes
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 Feb 2026. You cannot join it, but the record below documents what was studied.

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