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

Phase 4

Recruiting

• Conditions: Pain; Surgery - Other surgery; Anaesthesiology - Pain management

• Registration Number: ACTRN12621000973819
• Lead Sponsor: Tarana Lucky

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-07-26
• Last Update Posted: 9 August 2022

Recruitment & Eligibility

• Status: Recruiting
• Sex: Female
• Target Recruitment: 67

Inclusion Criteria

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)

Exclusion Criteria

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

Study & Design

• Study Type: Interventional
• Study Design: Not specified