Comparing Standard and Lower Pressure Gas Use During Laparoscopic Gynecologic Surgery to Reduce Post-Operative Pain

What this Trial Is About

Researchers are investigating how different insufflation pressures affect post-operative pain and the quality of the surgical field during laparoscopic gynecologic surgery. This randomized controlled trial includes patients undergoing either conventional or robotic-assisted laparoscopic procedures. The study aims to see if lower pressures reduce pain right after surgery without affecting how well surgeons can see during the operation. Participants are randomly assigned to one of three groups based on insufflation pressure standard pressure at 15mmHg, lower pressure at 12mmHg, or lowest pressure at 10mmHg. There are separate arms for conventional laparoscopic surgery and robotic-assisted laparoscopic surgery. All patients receive local anesthesia with bupivacaine at incision sites and are prescribed oxycodone pills for pain management after surgery. During the study, participants will have their post-operative pain assessed in the post-anesthesia care unit using a numerical rating scale. Researchers will also monitor surgical visualization, operative time, blood loss, complications, and opioid use up to two weeks after discharge. The study involves a single-blinded design with random allocation and will continue until April 2027.

Short Title: Standard vs. Lower Pressure Pneumoperitoneum