Mü-opioid Receptor Level and Postoperative Pain in Patients With Gynecological Laparoscopy
NCT ID: NCT04690491
Last Updated: 2021-04-20
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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COMPLETED
80 participants
OBSERVATIONAL
2020-05-15
2021-04-02
Brief Summary
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This prospective observational study will undergo elective laparoscopic gynecological surgery to 18-65 years, is planned to participate in ASA 1-3, 60 volunteer patients.
Patients who have known psychiatric disease and drug-users, an important cardiovascular or central nervous system disease, patients with pain syndromes or routinely using opioid, are non-irregular and predictable cycles of menstrual cycles and very urgent patients will not be included in the study.
In our study, we aimed to determine the relationship between menstrual cyclus phases (follicular and luteal) of menstrual cyclus phases (follicular and luteal) in patients to undergo gynecological laparoscopic operation and the relationship between postoperative pain and opioid analgesic consumption.
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Detailed Description
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Remaining 3 ml of blood from routine venous blood samples taken from patients for preoperative evaluation will be stored to investigate μ-Opioid receptor levels. A continuous 10 cm visual analog scale (VAS) will be used to determine the level of postoperative pain.
Researchers who will make postoperative evaluations will be blind to menstrual cycles.
The sensation of pain will be assessed every 10 minutes in the recovery room, intervening with a bolus of 10 mg iv tramadol for a pain score of 3 to 5 and a bolus of 20 mg for a pain score of more than 5. If the VAS does not drop below 3 after two additional tramadol boluses, rescue analgesia will be provided with 2 mg iv morphine.
Patients will be followed in the ward and observations will be made at 6, 12 and 24 hours.
Patients will be asked to evaluate their resting and coughing pains.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Interventions
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follicular cyclus
Days of cyclus 6-12
luteal cyclus
Days of cyclus 20-24
Eligibility Criteria
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Inclusion Criteria
* Between the Ages of 18-45,
* Least Primary School Graduate,
* Not Using Drugs That May Affect Cognitive Functions,
* Non-Alcohol Substance Use,
* Patients Without Psychiatric and Neurological Disease.
* Those with regular and predictable menstrual cycles
Exclusion Criteria
* Those with an important cardiovascular or central nervous system disease,
* Patients with pain syndromes or routinely using opioid,
* Those whose menstrual cycles last less than 21 days and do not have an irregular and predictable menstrual cycle
* Very urgent patients
18 Years
45 Years
FEMALE
Yes
Sponsors
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Bozok University
OTHER
Responsible Party
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Ökkeş Hakan Miniksar
Assistant Professor
Principal Investigators
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Ökkeş Miniksar, Asist.Prof
Role: STUDY_CHAIR
YOZGAT BOZOK UNIVERSITY
Locations
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Bozok University Medical Center
Yozgat, , Turkey (Türkiye)
Countries
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References
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Miniksar OH, Onat T, Gocmen AY, Honca M. Serum levels of mu-opioid receptor according to menstrual cycle phases are associated with postoperative pain and opioid consumption in laparoscopic gynecological surgeries: a prospective observational study. Ir J Med Sci. 2023 Aug;192(4):1847-1854. doi: 10.1007/s11845-022-03146-z. Epub 2022 Sep 12.
Other Identifiers
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189_2019.12.11_07
Identifier Type: -
Identifier Source: org_study_id
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