The purpose of this study was to see if a superior hypogastric plexus block done during a laparoscopic hysterectomy lowers postoperative discomfort.
A multicenter, randomized, single-blind, controlled study of superior hypogastric plexus block at the onset of laparoscopic hysterectomy was carried out. Women who had a laparoscopic hysterectomy for any reason and with any other laparoscopic operation were eligible. All patients received standardized preoperative medicines as well as incisional analgesia. The proportion of patients with a mean visual analog scale (VAS) pain score of less than 4 within 2 hours following surgery was our main objective. Patients, but not surgeons, were kept in the dark about the therapy group. About 29 per group were predicted to be adequate to detect a 38% absolute difference in the proportion of patients with a VAS score less than 4 at 2 hours postoperatively, with an α of 0.05 and an of 80% power. Researchers aimed to recruit 50 patients per group to account for loss to follow-up and any imbalances in patient characteristics. All analyses were performed with the purpose to treat in mind.
186 individuals were eligible between January 2018 and February 2019; 100 were randomized and assessed. The two groups shared comparable demographic and clinical features. There was no statistically significant difference in the proportion of patients with a mean VAS score of less than 4 within 2 hours of surgery between those who had a superior hypogastric plexus block (57%) and patients who did not (43%) (odds ratio 1.63, 95% CI 0.74–3.59; adjusted odds ratio 1.84, 95% CI 0.75–4.51).
Superior hypogastric plexus block did not significantly reduce postoperative pain in patients receiving laparoscopic hysterectomy with standardized improved perioperative recovery pathways.
