Benign Gynecologic Neoplasm Clinical Trial
Official title:
Postoperative Analgesic Efficacy of Continuous Wound Infusion With Local Anesthetics After Laparoscopy (PAIN): a Randomized, Double-blind, Placebo-controlled Trial
Studies evaluating the effectiveness of continuous wound infusion (CWI) to manage postoperative pain following laparoscopy are markedly lacking. Especially, there was no study comparing CWI and placebo in treating gynecologic laparoscopy. Therefore, the investigators conducted this randomized, double-blind, placebo-controlled trial to investigate whether CWI of local anesthetics was an effective strategy for enhanced recovery after surgery (ERAS), compared with placebo in patients undergoing benign gynecologic laparoscopy.
Laparoscopic surgery has become an acceptable alternative for open surgery in treating benign
gynecologic diseases. One of most important advantages of laparoscopy is a reduced
postoperative pain compared with open surgery. Moreover, postoperative pain plays an
important part in the enhanced recovery after surgery (ERAS) pathway. Although the length of
hospitalization and recovery period after laparoscopy tends to be shorter, postoperative pain
can still be an important issue.
Recently, continuous wound infusion (CWI) providing a constant flow of local anesthetic
directly a surgical wound postoperatively has been widely used to reduce pain after cesarean
section and open surgery. Studies evaluating the effectiveness of CWI to manage postoperative
pain following laparoscopy are markedly lacking. Especially, there was no study comparing CWI
and placebo in treating gynecologic laparoscopy. Therefore, the investigators conducted this
randomized, double-blind, placebo-controlled trial to investigate whether CWI of local
anesthetics was an effective strategy for ERAS, compared with placebo in patients undergoing
benign gynecologic laparoscopy.
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