Pain, Postoperative Clinical Trial
Official title:
Infiltration of Bupivacaine Local Anesthetic to Trocar Insertion Sites After Laparoscopic Hysterectomy: A Randomized, Double-Blind, Placebo-Controlled Trial
The primary objective of this study is to assess if injection of local anesthetic to the laparoscopic trocar sites after a hysterectomy will make a difference in a patient's pain after surgery.
The growing interest in minimally invasive gynecologic surgeries have increased the number of
patients undergoing laparoscopic hysterectomies. Although many patients are being discharged
home the same day of surgery, majority of patients complain of immediate postoperative pain
after a laparoscopic hysterectomy. Since postoperative pain is usually transient and improves
over a short period of time, infiltration of local anesthetic to trocar insertion sites might
alleviate the patient's discomfort during the recovery period. Immediate post-operative pain
relief further facilitates early discharge and faster patient recovery.
Published data regarding the effects of preemptive port site local anesthesia in gynecologic
operative laparoscopy have been limited and controversial. Visceral pain control through
afferent nerve block could minimize pain perception especially during the first postoperative
hours. This study aims to assess the influence of infiltration of local anesthetic to trocar
insertion sites after laparoscopic hysterectomy on postoperative pain.
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