Paracervical block before laparoscopic total hysterectomy: A randomized controlled trial

Autor: Kemal Güngördük, Varol Gülseren, Leyla Taştan, İsa Aykut Özdemir
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Taiwanese Journal of Obstetrics & Gynecology, Vol 63, Iss 2, Pp 186-191 (2024)
Druh dokumentu: article
ISSN: 1028-4559
DOI: 10.1016/j.tjog.2024.01.013
Popis: Objective: To test the hypothesis that paracervical block with 0.5 % bupivacaine decreases postoperative pain after total laparoscopic hysterectomy (TLH). Materials and method: This randomized double-blind placebo control trial included 152 women. We injected 10 mL 0.5 % bupivacaine (study group, n = 75) or 10 mL normal saline (control group, n = 77) at the 3 and 9 o'clock positions of the uterine cervix. The primary outcome was the visual analog scale score (VAS) determined 1 h (h) postoperatively. Results: The 152 patients did not differ in their baseline demographics or perioperative characteristics. The mean VAS 1 h postoperatively was significantly lower in the study group than in controls (5.7 ± 1.2 vs. 6.8 ± 1.1, P
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