Intra-operative Uterosacral Ligament Bupivacaine Injection During Minimally Invasive Hysterectomy
Purpose
This is proof of concept, phase I randomized controlled trial studying a short acting non-opioid anesthetic, bupivacaine to improve post-operative pain in gynecologic surgery patients. Patients who are undergoing minimally invasive (laparoscopic or robotic) hysterectomy will be randomized to receive no uterosacral injection, normal saline uterosacral injection, or 0.25% bupivacaine uterosacral injection just prior to colpotomy (incision around the cervix and removal of uterus) during minimally invasive hysterectomy.
Conditions
- Pain, Postoperative
- Opioid Use
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- Women over the age of 18 years old - undergoing benign minimally invasive hysterectomy with minimally invasive GYN surgeon at Johns Hopkins Hospital - Patients must be English speaking.
Exclusion Criteria
- Pregnancy - allergy, contraindication, or intolerance to bupivacaine, opioids, Tylenol, or NSAID drugs - pre-operative daily opioid consumption - peri-operative transverse abdominis plane block - recent history of drug or alcohol abuse (in last year) - severe cardiovascular, hepatic or renal disease.
Study Design
- Phase
- Early Phase 1
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
- Masking Description
- Patients will be blinded to which arm they are in, surgeon will not as they will be performing injection however will not be assessing pain scores
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Placebo Comparator No injection |
No injection will be performed |
|
Sham Comparator Normal Saline Injection |
Normal saline will be injected into the uterosacral ligaments prior to colpotomy |
|
Active Comparator Bupivacaine Injection |
Bupivacaine will be injected into the uterosacral ligaments prior to colpotomy |
|
More Details
- Status
- Completed
- Sponsor
- Johns Hopkins University