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Laparoscopic Ventral Hernia Repair With Elastomeric Pain Pump

This study has been completed.
Information provided by (Responsible Party):
Michael J. Rosen, MD., University Hospital Case Medical Center Identifier:
First received: May 10, 2007
Last updated: June 4, 2015
Last verified: January 2012

The purpose of this study is to determine the effects of a local anesthetic dispensed via a tiny catheter device, called the ON-Q PainBuster pump, placed during surgery on top of the mesh used in the laparoscopic repair of ventral hernias. The goals are:

  • reducing postoperative pain from this procedure
  • decreasing length of hospital stay
  • reducing or eliminating amount of post-operative narcotics used

Condition Intervention
Hernia, Ventral Drug: bupivacaine Device: On-Q PainBuster pump

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Prospective, Randomized, Double-blind Trial of Continuous Infusion of 0.5% Bupivacaine be Elastomeric Pump for Prospective Pain Management After Laparoscopic Ventral Hernia Repair.

Resource links provided by NLM:

Further study details as provided by Michael J. Rosen, MD., University Hospital Case Medical Center:

Primary Outcome Measures:
  • Place an elastomeric infusion catheter superficial to the mesh at the conclusion of the laparoscopic ventral hernia repair and compare the following to a group that receives a placebo infusion of saline: [ Time Frame: 3 months ]
  • Measuring: Visual Analog Pain Scale, Short-Form McGill Pain Questionnaire, Present Pain Intensity, Quantity of narcotic consumption [ Time Frame: 3 months ]

Secondary Outcome Measures:
  • Assess differences in postoperative pulmonary mechanics between the treated and nontreated groups by measuring the changes in maximal inspiratory volumes from baseline. [ Time Frame: 3 months ]
  • The return of bowel function: Day of Flatus, Tolerating Regular Diet, Length of hospital stay [ Time Frame: 1 week ]

Enrollment: 100
Study Start Date: December 2005
Study Completion Date: December 2007
Primary Completion Date: December 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Bupivicaine via Elastomeric pump
Bupivicaine via elastomeric pump
Drug: bupivacaine
administered locally, 0.5% Bupivacaine (Marcaine Abbott Laboratories) or saline administered continuously for 48 hours at 2 mL/h.
Other Name: Marcaine
Placebo Comparator: Placebo via elastomeric pump
Placebo via elastomeric pump
Device: On-Q PainBuster pump
local anesthetic (bupivacaine) administered via a pain relief system consisting of a 20 gauge soaker catheter attached to an elastomeric balloon pump that is capable of infusing a set volume of local anesthetic over a wide area of surgical site for 2 to 5 days

  Show Detailed Description


Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Laparoscopic ventral hernia repair
  • Consent obtained

Exclusion Criteria:

  • Under 18 years
  • Allergic to Bupivacaine
  • significant liver or renal disease
  • Contraindication to PCA
  • Current daily opioid usage
  • History of substance abuse disorders
  • Dx of chronic pain syndrome
  • Daily usage of NSAIDs or COX 2 inhibitors
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00472134

United States, Ohio
University Hospitals of Cleveland
Cleveland, Ohio, United States, 44106
Sponsors and Collaborators
University Hospitals Cleveland Medical Center
Principal Investigator: Michael J. Rosen, MD University Hospitals Cleveland Medical Center
  More Information

Responsible Party: Michael J. Rosen, MD., Principal Investigator, University Hospital Case Medical Center Identifier: NCT00472134     History of Changes
Other Study ID Numbers: 11-05-22
Study First Received: May 10, 2007
Last Updated: June 4, 2015

Keywords provided by Michael J. Rosen, MD., University Hospital Case Medical Center:
Laparoscopic Hernia Repair

Additional relevant MeSH terms:
Hernia, Ventral
Pathological Conditions, Anatomical
Hernia, Abdominal
Anesthetics, Local
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents processed this record on September 21, 2017