This trial sest to assess the efficacy of a superior hypogastric plexus block (SHPB) for quality of recovery after a laparoscopic hysterectomy.
Able to provide informed consent
Undergoing laparoscopic hysterectomy for benign indications
Planned procedure that requires dissection of the presacral space
Allergy to block medication (s)
Known or suspected malignancy
Parallel
Superior hypogastric plexus block
Procedure/SurgeryPrior 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.
Quality of recovery
The Quality of recovery (QoR) 15 is a patient-reported outcome questionnaire that measures the quality of recovery after surgery.
Postoperative Pain Scores
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.
Postoperative Opioid Use
Postoperative opioid consumption during said time points
The Brief Pain Inventory (BPI)
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
The McGill Pain Questionnaire can be used to evaluate a person experiencing significant pain.
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