Vaginal Cuff Anesthesia and Post-Operative Pain Medication Use

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexFemale
Age18+
SponsorMediSys Health Network

About this trial

The purpose of this study is to determine whether an injection of a local anesthetic (Bupivacaine with epinephrine) in the vaginal cuff prior to closure would result in less immediate postoperative pain medication and increase patient comfort/satisfaction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients 18 years and older requiring total laparoscopic hysterectomy with or without bilateral salpingo-oophorectomy for benign conditions

Presence of malignancy

Disqualifiers

Conversion to laparotomy

Previous multiple abdominal and/or pelvic surgeries

Significant medical comorbidities or cardiac history

Poor initial Aldrete score4 (<10)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Bupivacain

    Drug

    Injection into the vaginal cuff will occur before vaginal cuff closure with stratafix suture. There will be four points of injection 1cm from the edges of the vaginal cuff with a sterilized needle to a depth of 3-4cm. 5cc of bupivacaine with epinephrine or 5cc of normal saline will be injected into each area

  • Saline (NaCl 0,9 %) (placebo)

    Other intervention

    A saline placebo

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Vaginal Cuff AnesthesiaExperimental treatment 1 intervention
Group B: Vaginal Cuff SalinePlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Milligrams of Morphine Equivalent Used

Time frame
From enrollment to end of treatment at 4 hours.

Secondary outcomes

1

Counts of Non-Opioid Analgesics Used

Time frame
From enrollment to end of treatment at 4 hours.
2

Patient Change in Pain Score (0-10)

Change in value of pain score, measured on a 0-10 scale.

Time frame
From Baseline to end of treatment at 4 hours

Other outcomes

Sponsors and contacts

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