Status:

COMPLETED

Novel Multimodal Pain Control Protocol for Minimally Invasive Gynecologic Surgery

Lead Sponsor:

Ohio State University

Conditions:

Postoperative Pain

Narcotic Use

Eligibility:

FEMALE

18+ years

Phase:

NA

Brief Summary

The study is a randomized controlled trial investigating a multimodal postoperative pain management protocol which will include use of ice therapy and scheduled opioid-sparing medications for pain con...

Detailed Description

The study is a randomized controlled trial investigating a multimodal postoperative pain management protocol which will include use of ice therapy and scheduled opioid-sparing medications for pain con...

Eligibility Criteria

Inclusion

  • Minimally invasive (laparoscopic or robotic) major gynecologic procedures including: pelvic floor procedures (uterosacral ligament suspension, sacrocolpopexy, Burch colposuspension) with or without concomitant hysterectomy, adnexal surgery, or vaginal surgery; total or supracervical hysterectomy with or without concomitant adnexal surgery, vaginal surgery, or other minor gynecologic procedures
  • Patients admitted to the hospital for at least an overnight observation after their surgery
  • English-speaking
  • Surgery being performed by one of the five attending surgeons included in study

Exclusion

  • Pregnancy. If patient is of childbearing potential and not using contraception a urine pregnancy test will be completed as part of standard practice as part of pre-operative labs.
  • Diagnosis of chronic pelvic pain. Documented pelvic pain noted to be of \>6 months duration.
  • Diagnosis or history of chronic opioid use. Defined as use of opioids most days, for more than 3 months.
  • Diagnosis or history of opioid abuse disorder.
  • Current daily opioid use.
  • Liver, renal, or cardiac disease that is/are a contraindication to any medications used in the study.
  • Allergy or intolerance to any medication used in the study (with exception of oxycodone which can be substituted for hydromorphone if necessary).
  • Dementia or inability to understand or respond to the study measurement tools.
  • Intraoperative exclusion criteria (to be reviewed after surgery is complete): conversion to total vaginal procedure or laparotomy, major intraoperative complications that would deem participant inappropriate for trial (hemorrhage, blood transfusion, conversion to laparotomy, bowel surgery, major urologic procedures including bladder or ureteral repair).

Key Trial Info

Start Date :

April 19 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 20 2022

Estimated Enrollment :

54 Patients enrolled

Trial Details

Trial ID

NCT04710277

Start Date

April 19 2021

End Date

October 20 2022

Last Update

May 12 2023

Active Locations (1)

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1

Ohio State University Wexner Medical Center

Columbus, Ohio, United States, 43210