Actively Recruiting

Phase 4
Age: 21Years - 65Years
FEMALE
ID07101250

Preoperative Acetazolamide for Improved Pain Control Following Laparoscopic Hysterectomy

Led by Prisma Health-Upstate · Updated on 2026-02-20

100

Participants Needed

1

Research Sites

13 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating whether giving patients acetazolamide, a medicine also called Diamox, before laparoscopic hysterectomy surgery can reduce pain after the operation. The study focuses on pain caused by the gas used to inflate the abdomen during this minimally invasive surgery. Researchers will compare acetazolamide to a placebo to see if it helps lessen the pain experienced in the abdomen, pelvis, and right shoulder area, which may be irritated by the gas. Participants will receive either a 500mg extended-release oral capsule of acetazolamide or an inactive placebo capsule before surgery. The study uses a randomized, double-blind design, meaning neither the patient nor the doctor knows which treatment is given. The main treatment period covers the time before surgery and up to 24 hours after, during which pain levels and pain medication use will be closely monitored. During the study, patients will rate their abdominal, pelvic, and right shoulder pain at five specific times from before surgery to 24 hours afterward using a visual scale. Researchers will also track how much pain medicine patients use after surgery. This will help determine if acetazolamide improves pain control. The trial will follow patients throughout this period and collect detailed pain and medication data to assess outcomes.

CONDITIONS

Brief Title

Preoperative Acetazolamide

Who Can Participate

Age: 21Years - 65Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Women
  • Ages 21 to 65 years
  • Undergoing total laparoscopic hysterectomy for benign indications with or without bilateral salpingoophorectomy
  • Undergoing total laparoscopic hysterectomy for benign indications with or without cystoscopy
Not Eligible

You will not qualify if you...

  • Allergy to acetazolamide or sulfonamides
  • Known electrolyte disturbances
  • Pregnancy
  • Kidney failure or creatinine greater than 1.5
  • Diuretic or lithium use
  • Chronic obstructive pulmonary disease (COPD) or other lung disease
  • Central nervous system disorders
  • Liver disease
  • Glaucoma
  • Preoperative or chronic opioid use
  • Diagnosis of fibromyalgia
  • Preoperative shoulder pain
  • Conversion to laparotomy
  • Intraoperative bladder or bowel injury
  • Inability to understand or utilize visual analog scale
  • Undergoing concurrent reconstructive procedures

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - From preoperative administration until 24 hours after surgery

Participants receive either acetazolamide or a placebo before their laparoscopic hysterectomy to help control postoperative pain.

1 preoperative visit and assessments up to 24 hours post procedure

Trial Site Locations

Total: 1 location

1

Prisma Health

Greenville, South Carolina, United States, 29605

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Research Team

P

Patti Parker, BSN

P

Paul Miller, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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