Superior Hypogastric Plexus Blockade in Laparoscopic Hysterectomy

Pain, Postoperative Clinical Trial

Official title: Efficacy of Intraoperative Superior Hypogastric Plexus Blockade for Postoperative Pain in Laparoscopic Hysterectomy

Status Recruiting

Clinical Trial Summary

The primary indication for superior hypogastric plexus (SHP) block is visceral pelvic pain, most commonly from malignancy of the ovary, uterus, cervix, bladder, rectum or prostate. Per-cutaneous SHP blocks should be done under guidance of ultrasonography, fluoroscopy, magnetic resonance or computed tomography. During minimally invasive laparoscopic surgery, percutaneous technique can be done under the guidance of cameras.

Clinical Trial Description

Laparoscopic surgeries have many advantages over open surgeries. Laparoscopic procedures are mostly preferred for surgical treatment of gynecologic diseases, because of best cosmetically results, less perioperative complications, early recovery, and less postoperative pain.

There are many undesirable effects of systemic reactions to the pain. Accordingly, multi-modal analgesic approach (including nerve blocks) for postoperative acute pain can decrease the side effects of the drugs (especially opioids) significantly.

The primary indication for superior hypogastric plexus (SHP) block is visceral pelvic pain, most commonly from malignancy of the ovary, uterus, cervix, bladder, rectum or prostate. Per-cutaneous SHP blocks should be done under guidance of ultrasonography, fluoroscopy, magnetic resonance or computed tomography. During minimally invasive laparoscopic surgery, per-cutaneous technique can be done under the guidance of cameras.

SHP block has been performed by anesthetists or surgeons in Kocaeli Derince Training and Research Hospital regularly since they have discovered the advantages of this block technique. SHP can be useful to decrease postoperative pain scores and opioid or NSAID consumption significantly. ;

Related Conditions & MeSH terms

• Genital Diseases, Female
• Gynecologic Disease
• Hysterectomy
• Laparoscopy
• Minimally Invasive Surgery
• Pain, Postoperative
• Superior Hypogastric Plexus Block

• NCT number: NCT03427840
• Study type: Observational
• Source: Derince Training and Research Hospital
• Contact: Hande Aytuluk, MD
• Phone: +902623198000
• Email: handegrbz@gmail.com
• Status: Recruiting
• Start date: March 18, 2018
• Completion date: July 1, 2018