QL Block in Laparoscopic Myomectomy

Phase 4RecruitingNCT05979493

Joseph Findley MD80 enrolled

Overview

This study aims to determine the efficacy of a quadratus lumborum (QL) block in decreasing postoperative pain in patients undergoing myomectomy for uterine fibroids. A QL block is a temporary anesthetic injection in the quadratus lumborum muscle, a muscle in the lower back, that has been previously shown to significantly reduce postoperative pain levels in patients undergoing abdominal and pelvic surgery. Because of its demonstrated effects, the QL block is becoming a standard of anesthesia and surgical care. Since participants will be undergoing a myomectomy procedure, the investigators believe that participants may qualify to participate in this study. The investigators will be comparing patients who receive the QL block (in addition to standard anesthesia and postoperative pain care) with patients who do not receive the QL block (in addition to standard care). The participants will be randomly assigned to one of the two groups and may or may not actually receive the block.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

TRIPLE

Enrollment

Conditions

Postoperative Pain Fibroid Uterus

Interventions

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Presence of uterine fibroids requiring surgical excision with preservation of the uterus * Stated willingness to comply with all study procedures and availability for the duration of the study * Provision of signed and dated informed consent form Exclusion Criteria: * Pre-existing diagnoses of anxiety or depression * Pre-existing coagulopathies * Pre-existing neuropathic or chronic pelvic pain * Chronic opioid use * Illiteracy due to inability to read and understand plain questionnaire * Non-English speaking * BMI \>38

Outcomes

Primary Outcomes

Time in minutes from first analgesic request as measured by medical chart review

Time frame: Up to 24 hours

Total number of doses of rescue analgesics given as measured by medical chart review

Time frame: Up to 24 hours

Secondary Outcomes

Pain as measured by visual analog scale (VAS)

VAS is a pain scale from 0-10 with 0 being no pain and 10 being the worst pain ever.

Time frame: Up to 48 hours after discharge from hospital.

Patient satisfaction with perioperative pain management measured on a scale of 1-10

Pain management scale with 1 being very disappointed in pain management with 10 being highly satisfied with pain managment.