QL Block in Laparoscopic Myomectomy
Purpose
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.
Conditions
- Postoperative Pain
- Fibroid Uterus
Eligibility
- Eligible Ages
- Between 18 Years and 45 Years
- Eligible Genders
- Female
- Accepts Healthy Volunteers
- No
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
Study Design
- Phase
- Phase 4
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Supportive Care
- Masking
- Triple (Participant, Care Provider, Investigator)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental QL Block with Bupivacaine |
Participants will get a QL block using 30cc Bupivacaine bilaterally in quadratus lumborum muscle (60cc total). |
|
|
Sham Comparator Control |
Participants will get a sham injection of 30cc saline bilaterally in quadratus lumborum muscle (60cc total). |
|
Recruiting Locations
Beachwood, Ohio 44122
More Details
- NCT ID
- NCT05979493
- Status
- Recruiting
- Sponsor
- Joseph Findley MD