Hysterectomy
Conditions
Keywords
Hysterectomy, Minimally invasive surgery, Quality of recovery
Brief summary
This trial sest to assess the efficacy of a superior hypogastric plexus block (SHPB) for quality of recovery after a laparoscopic hysterectomy.
Interventions
PROCEDURESuperior hypogastric plexus block
Prior to the laparoscopic hysterectomy and any additional procedures, the superior hypogastric plexus block will be performed on all the patients. The block will contain 20 mL of 0.75% ropivacaine hydrochloride or 0.9% normal saline. The injection will be performed by tenting the presacral peritoneum, aspirating with a laparoscopic needle-tip syringe to ensure extravascular placement, and injecting the block.
Sponsors
Sixth Affiliated Hospital, Sun Yat-sen University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Able to provide informed consent * Undergoing laparoscopic hysterectomy for benign indications
Exclusion criteria
* Planned procedure that requires dissection of the presacral space * Allergy to block medication (s) * Known or suspected malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of recovery | Postoperative day 1 | The Quality of recovery (QoR) 15 is a patient-reported outcome questionnaire that measures the quality of recovery after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Opioid Use | Up to postoperative day 2 | Postoperative opioid consumption during said time points |
| The Brief Pain Inventory (BPI) | Up to postoperative day 90 | The Brief Pain Inventory (BPI) is a self-administered questionnaire to assess the severity of pain and the impact of pain on the patient's daily functions. |
| The McGill Pain Questionnaire | Up to postoperative day 90 | The McGill Pain Questionnaire can be used to evaluate a person experiencing significant pain. |
| Postoperative Pain Scores | Up to postoperative day 2 | Pain reported according to a visual rating scale from 0 to 100 points (0= no pain and 100= worst imaginable pain), which details their pain level using Visual Analog Scale (VAS) pain scores from the Brief Pain Inventory (BPI). Pain is reported on a scale of 1 to 100, and a higher score indicates greater pain intensity. |
| Length of stay in post-anesthesia care unit (PACU) area | Postoperative day 1 | Total time in PACU area |
| Quality of recovery | Up to postoperative day 2 | The Quality of recovery (QoR) 15 is a patient-reported outcome questionnaire that measures the quality of recovery after surgery. |
| Postoperative nausea and vomiting | Up to postoperative day 2 | number of participants with nausea or vomiting |
| Incidence of Adverse events | Intraoperative (During block performance) | Incidence of adverse events related to the plexus block (vascular puncture, hematoma, and local anesthetic systemic toxicity (LAST)) |
Outcome results
None listed