Superior Hypogastric Plexus Blockade in Laparoscopic Hysterectomy
NCT ID: NCT03427840
Last Updated: 2018-03-20
Study Results
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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UNKNOWN
60 participants
OBSERVATIONAL
2018-03-18
2018-07-01
Brief Summary
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Detailed Description
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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.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Hypo
The participants with a superior hypogastric block
Procedure/Surgery: superior hypogastric block
superior hypogastric blockade during surgery
NoHypo
The participants without a superior hypogastric block; the patients with an epidural catheter, who receive a different block technique (ie: TAP block), or who are unsuitable for SHP block (ie: if retroperitone is opened intraoperatively by the surgeon)
No interventions assigned to this group
Interventions
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Procedure/Surgery: superior hypogastric block
superior hypogastric blockade during surgery
Eligibility Criteria
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Inclusion Criteria
* Elective laparoscopic hysterectomy
Exclusion Criteria
* Different kind of surgery
* Known allergy to local anesthetic drugs
* Different analgesia protocol (ie: epidural, TAP block,..)
* Refusal of the patient
18 Years
65 Years
FEMALE
No
Sponsors
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Derince Training and Research Hospital
OTHER
Responsible Party
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Hande G. Aytuluk
M.D., Principal investigator
Principal Investigators
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Hande Aytuluk, MD
Role: PRINCIPAL_INVESTIGATOR
Derince Training and Research Hospital
Ahmet Kale, Prof
Role: STUDY_CHAIR
Derince Training and Research Hospital
Gulfem Basol, MD
Role: STUDY_CHAIR
Derince Training and Research Hospital
Locations
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Derince Training and Research Hospital
Kocaeli, Derince, Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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References
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Aytuluk HG, Kale A, Basol G. Laparoscopic Superior Hypogastric Blocks for Postoperative Pain Management in Hysterectomies: A New Technique for Superior Hypogastric Blocks. J Minim Invasive Gynecol. 2019 May-Jun;26(4):740-747. doi: 10.1016/j.jmig.2018.08.008. Epub 2018 Aug 28.
Song T, Kim MK, Jung YW, Yun BS, Seong SJ, Choi CH, Kim TJ, Lee JW, Bae DS, Kim BG. Minimally invasive compared with open surgery in patients with borderline ovarian tumors. Gynecol Oncol. 2017 Jun;145(3):508-512. doi: 10.1016/j.ygyno.2017.03.019. Epub 2017 Apr 2.
Lovich-Sapola J, Smith CE, Brandt CP. Postoperative pain control. Surg Clin North Am. 2015 Apr;95(2):301-18. doi: 10.1016/j.suc.2014.10.002. Epub 2015 Jan 24.
Sindt JE, Brogan SE. Interventional Treatments of Cancer Pain. Anesthesiol Clin. 2016 Jun;34(2):317-39. doi: 10.1016/j.anclin.2016.01.004.
Erdine S, Yucel A, Celik M, Talu GK. Transdiscal approach for hypogastric plexus block. Reg Anesth Pain Med. 2003 Jul-Aug;28(4):304-8. doi: 10.1016/s1098-7339(03)00191-3.
Other Identifiers
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U1111-1208-8608
Identifier Type: -
Identifier Source: org_study_id
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