N/A
N=78
Superior Hypogastric Blockade for Postoperative Pain
Superior Hypogastric Plexus Block · Hysterectomy · Pain, Postoperative · Gynecologic Disease
Bottom Line
View on ClinicalTrials.gov: NCT03428152 ↗Enrolled (actual)
78
Serious AEs
0.0%
Results posted
Jun 2019
Primary outcome: Primary: Postoperative Pain Scores — 4.76; 7.38; 3.7; 6.66 units on a scale
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- superior hypogastric block (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- Female
- Sponsor
- Derince Training and Research Hospital
- Primary completion
- Jul 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Postoperative Pain Scores |
4.76; 7.38; 3.7; 6.66; 1.9; 4.23 | — |
| PRIMARY Postoperative Analgesic Consumption |
0.8; 0.96; 0.1; 0.36; 2.83; 5.77 | — |
| SECONDARY Rescue Analgesic Time |
627; 203.83 | — |
| SECONDARY Duration of Operation |
115.83; 114.16 | — |
| SECONDARY Length of Hospital Stay |
2.66; 2.96 | — |
| SECONDARY Number of Participants With Complications Due to SHP Block |
7; 8; 0; 0 | — |
Summary
The primary indication for superior hypogastric (SHP) block is visceral pelvic pain, most commonly from malignancy of the ovary, uterus, cervix, bladder, rectum or prostate. Percutaneous SHP blocks should be done under guidance of ultrasonography, fluoroscopy, magnetic resonance or computed tomography. Because of the close proximity of SHP to major vessels, and structures like vertebral column (for posterior) and guts (for anterior) are being on the way of the needle, these percutaneous blocks are associated with serious complications. Performing SHP during hysterectomy surgery, gives advantages to rule out these complications by exploring the whole intraabdominal anatomy.
The investigators' theory is to find out if SHP blocks (during pelvic surgery) are useful for decreasing VAS pain scores and opioid consumption for postoperative pain.
Eligibility Criteria
Inclusion Criteria
- ASA I - II
- Elective hysterectomy
Exclusion Criteria
- ASA III
- Different kind of surgery
- Known allergy to local anesthetic drugs
- Different analgesia protocol (ie: epidural, TAP block,..)
- Refusal of the patient
Data sourced from ClinicalTrials.gov (NCT03428152). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.