Improved Recovery Using Multimodal Peri-operative Analgesia in Minimally Invasive Myomectomy

NCT ID: NCT00978601

Last Updated: 2009-09-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

95 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2009-09-30

Brief Summary

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The purpose of this study is to evaluate a multimodal analgesic protocol used in minimally invasive surgery for myomectomies (laparoscopic myomectomy (LM) and laparoscopically assisted myomectomy (LAM)).

Detailed Description

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Conditions

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Anesthesia Myomectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Multimodal analgesic protocol group

Women who received the multimodal analgesic protocol during minimally invasive myomectomy.

Group Type EXPERIMENTAL

Multimodal analgesic protocol during minimally invasive myomectomy

Intervention Type PROCEDURE

Multimodal and preemptive analgesia using 8 mg of Dexamethasone iv,trocar ports infiltration with 5 mL of a local anesthetic, consisting of 0.26% ropivacaine HCL (7.5 mg/mL) and 0.74% of 0,9 % sodium chloride, before the skin incision. About 10 minutes before the surgery is completed, 4 mg Ondansetron iv and a mixture of 75 mg diclofenac and 600 mg of paracetamol intramuscularly (im) are administered.

No use of multimodal analgesic protocol group

Women who did not receive the multimodal analgesic protocol during minimally invasive myomectomy.

Group Type NO_INTERVENTION

Multimodal analgesic protocol during minimally invasive myomectomy

Intervention Type PROCEDURE

Multimodal and preemptive analgesia using 8 mg of Dexamethasone iv,trocar ports infiltration with 5 mL of a local anesthetic, consisting of 0.26% ropivacaine HCL (7.5 mg/mL) and 0.74% of 0,9 % sodium chloride, before the skin incision. About 10 minutes before the surgery is completed, 4 mg Ondansetron iv and a mixture of 75 mg diclofenac and 600 mg of paracetamol intramuscularly (im) are administered.

Interventions

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Multimodal analgesic protocol during minimally invasive myomectomy

Multimodal and preemptive analgesia using 8 mg of Dexamethasone iv,trocar ports infiltration with 5 mL of a local anesthetic, consisting of 0.26% ropivacaine HCL (7.5 mg/mL) and 0.74% of 0,9 % sodium chloride, before the skin incision. About 10 minutes before the surgery is completed, 4 mg Ondansetron iv and a mixture of 75 mg diclofenac and 600 mg of paracetamol intramuscularly (im) are administered.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Symptomatic intramural and or subserous myomas
* ASA score 1-2
* Without contraindication to nonsteroidal anti-inflammatory agents
* Patients have to be able to understand and follow medical instructions
* They need to have satisfactory hygiene and accommodation conditions
* They have to live not more than 2 hours away from the department
* Easy telephone contact is required

Exclusion Criteria

* Ovarian disease
* Previous medical treatment for ovarian suppression, pregnancy, abnormal Papanicolaou (Pap) test smear or hyperplasia (with or without atypia) in case of endometrial biopsy
Minimum Eligible Age

20 Years

Maximum Eligible Age

42 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Iakentro Fertility Centre

OTHER

Sponsor Role lead

Responsible Party

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Iakentro Advanced Medical Center

Locations

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Iakentro Advanced Medical Center

Thessaloniki, , Greece

Site Status

Countries

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Greece

References

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de Lapasse C, Rabischong B, Bolandard F, Canis M, Botchorischvili R, Jardon K, Mage G. Total laparoscopic hysterectomy and early discharge: satisfaction and feasibility study. J Minim Invasive Gynecol. 2008 Jan-Feb;15(1):20-5. doi: 10.1016/j.jmig.2007.08.608.

Reference Type BACKGROUND
PMID: 18262139 (View on PubMed)

Prapas Y, Kalogiannidis I, Prapas N. Laparoscopy vs laparoscopically assisted myomectomy in the management of uterine myomas: a prospective study. Am J Obstet Gynecol. 2009 Feb;200(2):144.e1-6. doi: 10.1016/j.ajog.2008.08.063. Epub 2008 Nov 18.

Reference Type BACKGROUND
PMID: 19019334 (View on PubMed)

Hoffman CP, Kennedy J, Borschel L, Burchette R, Kidd A. Laparoscopic hysterectomy: the Kaiser Permanente San Diego experience. J Minim Invasive Gynecol. 2005 Jan-Feb;12(1):16-24. doi: 10.1016/j.jmig.2004.12.022.

Reference Type BACKGROUND
PMID: 15904592 (View on PubMed)

Kehlet H, Wilkinson RC, Fischer HB, Camu F; Prospect Working Group. PROSPECT: evidence-based, procedure-specific postoperative pain management. Best Pract Res Clin Anaesthesiol. 2007 Mar;21(1):149-59. doi: 10.1016/j.bpa.2006.12.001.

Reference Type BACKGROUND
PMID: 17489225 (View on PubMed)

Xiromeritis P, Kalogiannidis I, Papadopoulos E, Prapas N, Prapas Y. Improved recovery using multimodal perioperative analgesia in minimally invasive myomectomy: a randomised study. Aust N Z J Obstet Gynaecol. 2011 Aug;51(4):301-6. doi: 10.1111/j.1479-828X.2011.01333.x. Epub 2011 Jul 5.

Reference Type DERIVED
PMID: 21806591 (View on PubMed)

Other Identifiers

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MULTI-LM-100

Identifier Type: -

Identifier Source: org_study_id

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