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Sponsored by: |
St. Luke's Hospital, Kansas City, Missouri |
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Information provided by: | St. Luke's Hospital, Kansas City, Missouri |
ClinicalTrials.gov Identifier: | NCT00695240 |
This prospective randomized controlled study will determine the efficacy of continuous local anesthesia at decreasing pain scores compared to patient controlled analgesia for pelvic organ prolapse procedures including posterior colporrhaphy and sacrospinous ligament fixation.
Condition | Intervention | Phase |
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Post-Operative Pain Pelvic Organ Prolapse |
Device: Continuous bupivacaine analgesia infusion (ON-Q PainBuster Post-Op Pain Relief System) |
Phase II Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Parallel Assignment, Safety/Efficacy Study |
Official Title: | Post-Operative Pain Control Using Direct Continuous Bupivacaine Infusion After Pelvic Organ Prolapse Repair |
Estimated Enrollment: | 80 |
Study Start Date: | April 2007 |
Estimated Study Completion Date: | July 2009 |
Estimated Primary Completion Date: | July 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
Bupiv analgesia: Experimental
Patients assigned to the study group had an ON-Q PainBuster Post-Op Pain Relief System (270 ml x 4 ml/hr, dual catheter, 2 ml per site, 72 hours continuous) with dual five inch fenestrated catheters placed at the sacrospinous ligament. The catheter was placed in the operating room with a peel-away trocar and attached to the pump. The trocar was inserted through a 5 mm stab incision made near the superior part of the pubic bone between the genitoinguinal fold and the midline of the symphysis. Once through the incision, the trocar is advanced subcutaneously and made to exit the posterior fourchette just beneath the posterior vaginal mucosa where it is advanced by tenting up the skin.
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Device: Continuous bupivacaine analgesia infusion (ON-Q PainBuster Post-Op Pain Relief System)
Patients assigned to the study group had an ON-Q PainBuster Post-Op Pain Relief System (270 ml x 4 ml/hr, dual catheter, 2 ml per site, 72 hours continuous) with dual five inch fenestrated catheters placed at the sacrospinous ligament. One half percent bupivacaine was utilized.
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Direct post-operative analgesia can be administered via a direct continuous analgesia pumps providing local anesthetic into a dissected area. To date, no studies have been conducted to evaluate pain control or infection with vaginal placement of catheters for pelvic organ prolapse surgery. To help pelvic surgeons assess the relative benefit of continuous local infusion of topical anesthetic following sacrospinous ligament fixation versus PCA pump, we compared pain scores, narcotic, anti-pruritic and anti-emetic drug usage, and wound complications.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Female |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Exclusion Criteria:
Contact: Tyler M Muffly, MD | 816-404-1000 | tylermuffly@hotmail.com |
Contact: Richard Hill, MD | 816-932-1758 | rihill@saint-lukes.org |
United States, Missouri | |
St. Luke's Hospital | Recruiting |
Kansas City, Missouri, United States, 64108 | |
Contact: Tyler Muffly, MD 816-404-1000 tylermuffly@hotmail.com | |
Sub-Investigator: Tyler Muffly, MD |
Study Director: | Tyler M Muffly, MD | St. Luke's Hospital |
Responsible Party: | Institutional Review Board ( Marilyn Horn ) |
Study ID Numbers: | 06-310 |
Study First Received: | June 9, 2008 |
Last Updated: | June 10, 2008 |
ClinicalTrials.gov Identifier: | NCT00695240 |
Health Authority: | United States: Institutional Review Board |
Continuous bupivacaine infusion Analgesia |
Pathological Conditions, Anatomical Signs and Symptoms Digestive System Diseases Postoperative Complications Gastrointestinal Diseases Bupivacaine |
Pain Intestinal Diseases Rectal Diseases Prolapse Pain, Postoperative Rectal Prolapse |
Pathologic Processes Sensory System Agents Therapeutic Uses Physiological Effects of Drugs Central Nervous System Depressants |
Anesthetics Peripheral Nervous System Agents Central Nervous System Agents Pharmacologic Actions Anesthetics, Local |