RecruitingPhase 4NCT05979493

QL Block in Laparoscopic Myomectomy

Quadratus Lumborum Block to Improve Postoperative Pain Management After Laparoscopic Myomectomies: a Double-blinded and Prospective Randomized Clinical Trial.

Sponsor

Joseph Findley MD

Enrollment

80 participants

Start Date

Aug 24, 2024

Study Type

INTERVENTIONAL

Conditions

Postoperative Pain Fibroid Uterus

Summary

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.

Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 45 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a nerve block technique called the quadratus lumborum (QL) block — an injection of local anaesthetic near the lower back muscles — reduces pain after laparoscopic myomectomy, which is keyhole surgery to remove uterine fibroids. **You may be eligible if...** - You have uterine fibroids that require surgical removal but with the uterus being preserved (myomectomy) - You are willing to follow all study procedures and attend follow-up visits **You may NOT be eligible if...** - You have been previously diagnosed with anxiety or depression - You have a blood clotting disorder - You have chronic pelvic pain or nerve-related pain conditions - You regularly use opioid pain medications - You have a BMI above 38 - You do not speak or read English Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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