Myoma of Uterus
Conditions
Brief summary
Laparoscopic operative procedures have revolutionized gynecological surgery. These have several advantages: a smaller and more cosmetic incision, reduced blood loss and shorter postoperative stay, which cuts down on hospital costs. However, postoperative pain continues to be one complication, which results in an unpleasant experience for the patient and at times causes a delayed discharge. Trigger point injection removes the pain developing point and block the pain signal. EMLA cream shows analgesic effect when being spread on the skin. An literature showed that patch of local anesthetics showed the effect of trigger point inject. The purpose of this study is to investigate the alleviation of shoulder pain, headache, abdominal pain, and back pain after trigger point injection or EMLA cream applying on shoulder in patients undergoing total laparoscopic hysterectomy.
Interventions
DRUGTPI
Trigger point injection with 25G needle on the shoulder before surgery(0.5% procaine, 0.25\ 0.5% lidocaine, 0.125% bupivacaine)
DRUGEMLA cream
EMLA cream with occluding dressing on the shoulder before surgery(5% of eutectic mixture with 2.5% lidocaine and 2.5% prilocaine)
Sponsors
Yonsei University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* ASA class I or II * age 20\ 70 * patients undergoing total laparoscopic hysterectomy
Exclusion criteria
* history of shoulder surgery * coagulopathy * infection or trauma of shoulder * general inflammation * allergy to local anesthetics
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative shoulder pain | 3 hr after end of surgery | Postoperative shoulder pain is measured using the VAS at 3 hr after end of surgery. |
Countries
South Korea
Outcome results
None listed