کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6181638 | 1253512 | 2016 | 8 صفحه PDF | دانلود رایگان |
ObjectiveTo 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).DesignProspective, randomized, double-blind, placebo-controlled trial.SettingUniversity 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 1Â mL 3% mepivacaine plus 1Â mL 0.5% bupivacaine versus control group receiving DBC plus ICOB with 2Â 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, â2.65 to â0.21) 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 NumberNCT01808898.
Journal: Fertility and Sterility - Volume 105, Issue 2, February 2016, Pages 474-480.e1