TAP vs Surgical Infiltration of Local Anesthetic in Laparoscopic and Robotic Hysterectomy

• Status: Completed
• Trial end date: 2017-06-01
• Target enrollment: 0
• Participant gender: Female

Summary

Laparoscopic and Robotic assisted hysterectomy is a surgical procedure that is a minimally invasive way in which to remove the uterus, which has less scarring and fewer complications. However, this procedure, much like its open-surgical counterpart, is often associated with significant post-operative pain. To augment this pain there are many different analgesic techniques available to offset pain. Ultrasound-guided transversus abdominis plane (TAP) block is one such procedure involving the injection of a local anesthetic into the plane of the transversus abdominal muscle where the terminal branches of nerves lie. A similar, yet different analgesic approach is that of direct injection of local anesthetic into the incision by the surgeon during or just after surgical procedures. These two approaches have both been proven to decrease post-operative pain in patients for many procedures, but never compared to one another.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: University of Minnesota; University of Minnesota - Clinical and Translational Science Institute
• Treatments: Acetaminophen; Anesthetics; Anesthetics, Local; Bupivacaine; Epinephrine; Epinephryl borate; Ibuprofen; Oxycodone; Racepinephrine

Criteria

Inclusion Criteria:

• ASA physical status I-III

• Females >/=18-years of age

• Scheduled for laparoscopic/robot-assisted hysterectomy.

Exclusion Criteria

• Contraindication to surgical infiltration or regional blockade

• History of long term opioid intake (greater than 3 weeks prior to surgery) or chronic pain disorder

• Inability to understand the informed consent and demands of the study

• Surgery scheduled to start after 1700