Hysteroscopic local anesthetic intrauterine cornual block in office endometrial ablation: a randomized controlled trial

Hysteroscopic local anesthetic intrauterine cornual block reduces pain perception during office endometrial ablation.

0
0

Authors

Vinod Kumar, Ph.D., Konstantinos Tryposkiadis, Janesh Kumar Gupta, M.D.

Volume 104, Issue 2, Pages 474-480

Abstract

Objective:

To evaluate the efficacy of a hysteroscopic local anesthetic intrauterine cornual block (ICOB) on pain experienced during office endometrial ablation (EA) in addition to a traditional direct local anesthetic cervical block (DCB).

Design:

Prospective, randomized, double-blind, placebo-controlled trial.

Setting:

Outpatient one-stop hysteroscopy clinic at a university teaching hospital.

Patient(s):

Women with heavy menstrual bleeding scheduled for an office endometrial ablation.

Intervention(s):

Before office EA, DCB plus hysteroscopic ICOB just medial to each tubal ostium using local anesthetic mixture made up of 1 mL 3% mepivacaine plus 1 mL 0.5% bupivacaine versus control group receiving DBC plus ICOB with 2 mL of placebo (saline).

Main Outcome Measure(s):

Primary outcome: pain reported during procedure via visual analogue scale (VAS) from 0 to 10; secondary outcomes: postoperative pain, rescue analgesic requirement, and duration of hospital stay.

Result(s):

Most characteristics were similar across groups. The mean VAS score during the procedure was statistically significantly lower by 1.44 (95% confidence interval, −2.65 to −0.21) in the active group compared with the placebo group. There were no statistically significant differences between the two groups in the postprocedural mean VAS scores, rescue analgesic requirement, or duration of hospital stay.

Conclusion(s):

Used in addition to DCB, ICOB reduces the pain experienced during office EA compared with DCB alone.

Clinical Trial Registration Number:

NCT01808898.

Read the full text at: http://www.fertstert.org/article/S0015-0282(15)02030-0/fulltext

Go to the profile of Fertility and Sterility

Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

No comments yet.