Rib Removal and Pain in Partial Nephrectomy

NCT06543095 | Completed

• 1 other identifier: 2022/589
• Study Type: observational
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, the effect of rib removal on postoperative pain in kidney cancer patients undergoing retroperitoneal open partial nephrectomy with flank incision was investigated. For this purpose, VAS score surveys were prepared for patients who underwent partial nephrectomy surgery in the early and late postoperative periods.

Conditions

Pain; Partial Nephrectomy; Kidney Cancer

Keywords

Rib Removal; Partial nephrectomy; pain; renal cancer

Outcome Measures

Primary Outcomes (1)

• Pain level

  Primary outcome of the study was to compare the pain intensities of the two groups at postoperative days 0, 1, and 3 and week 3 and to evaluate the additional pain burden induced by the rib removal procedure.

  days 0, 1, and 3 and week 3

Secondary Outcomes (1)

• Complications

  Postoperative 7 days

Study Arms (2)

Group 1

who underwent rib removal during the partial nephrectomy

Other: Pain level

Group 2

who didn't underwent rib removal during the partial nephrectomy

Other: Pain level

Interventions

Pain level OTHER

Post-operative pain levels of the patients with detected using VAS score.

Group 1; Group 2

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

patients who underwent open partial nephrectomy with flank incision between July 2022 and October 2023 in our clinic.

You may qualify if:

• Patients aged over 18 years who underwent open renal surgery due to kidney cancer were included in the study.

You may not qualify if:

• Patients with a preoperative (one day before surgery) VAS score greater than 0,
• Those with additional known diseases that could cause pain (herniated disc, urinary stone disease, inflammatory bowel diseases, other intra-abdominal pathologies),
• Intraoperative complications that could cause postoperative pain, metastasis, positive surgical margins or peri-renal invasion,
• Those who underwent laparoscopic surgery or those who converted to open surgery after laparoscopic surgery,
• Patients that regularly used painkillers for other reasons,
• Patients whose ribs other than the 11th rib were removed were excluded from the study.

Sponsors & Collaborators

• TC Erciyes University: lead

Study Sites (1)

Erciyes University

Kayseri, 38080, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain; Kidney Neoplasms

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Urologic Neoplasms; Urogenital Neoplasms; Neoplasms by Site; Neoplasms; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Kidney Diseases; Urologic Diseases; Male Urogenital Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 3 Weeks
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof.

Study Record Dates

• First Submitted: August 3, 2024
• First Posted: August 7, 2024
• Study Start: July 1, 2022
• Primary Completion: October 1, 2023
• Study Completion: January 1, 2024
• Last Updated: August 7, 2024

Record last verified: 2024-08

Locations

TU (1)