Effect of Paracervical Block on Post-operative Pain Following Benign Laparoscopic Hysterectomy: Objective Evaluation Of Parameters By Utilising A Single Centre Double Blind Randomized Controlled Trial

Tarana Lucky0 个研究点目标入组 67 人开始时间: 2021年7月26日最近更新: 2022年8月9日

试验速览

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•1.Age greater than or equal to 18 years
•2.Undergoing a total laparoscopic hysterectomy for benign indications (elective)
•3.Indication of prophylactic surgery for at-risk patients can be included
•4.With or without the following concurrent procedures:
•a.Unilateral or bilateral salpingo-oophorectomy
•b.Excision of endometriosis (below pelvic brim)

•1.Allergy to either of Bupivacaine, Adrenaline, or any amide anaesthetics or opioids
•2.Any other contraindications to Adrenaline or Bupivacaine
•3.Weight <50kg or >100kg
•4.Emergency hysterectomy
•5.For non-English speaking participants: Unable to collect data adequately despite use of language interpreter
•6.Excision of endometriosis that is above pelvic brim
•7.Concurrent bowel or upper abdominal surgery
•8.Chronic pain requiring ongoing opioid analgesia
•9.Any indication of malignancy pre-op
•10.Any intra-op suspicion/detection of malignancy requiring lymph node dissection
•11.Any concomitant vaginal procedures (prolapse repair, mid-urethral slings, etc.)
•12.Intraoperative conversion to laparotomy
•13.Inability to perform the paracervical block due to anatomic abnormalities
•14.Intraoperative injury to gastrointestinal or urologic tract that necessitated repair
•15.Patient needing return to OT for complications
•16.Procedures requiring extensive additional tissue manipulation such as:
•a.Pelvic lymph node dissection
•b.Laparoscopic pelvic floor repair procedures

发起方

Tarana Lucky