Local Anaesthetic Infusion For Laparoscopic Hysterectomy
Status:
Completed
Trial end date:
2013-02-01
Target enrollment:
Participant gender:
Summary
More hysterectomies are performed laparoscopically either as a total laparoscopic
hysterectomy or as a laparoscopically assisted vaginal hysterectomy. The advantages of
laparoscopic surgery include quicker hospital discharge, a shorter convalescence and cost
effectiveness when compared to open procedures. Laparoscopic hysterectomies (both total and
vaginally assisted) can lead to discomfort which may lead to a delay in discharge from
hospital. Continuous infusions of local anaesthetic agents given post operatively to the site
of operation have the been subject of trials for several operative procedures. To date
however there have not been any properly controlled studies evaluating whether there are
benefits of giving a local anaesthetic infusion for 48 hours into the pelvis following a
total or vaginally assisted laparoscopic hysterectomy. The investigators therefore propose to
investigate whether giving a local anaesthetic infusion in this fashion decreases the amount
of rescue and patient controlled analgesia needed, and length of hospital stay. In order to
do this the investigators wish to conduct a randomised placebo controlled double blind trial.