Erector spinae block to lower opioid use after total abdominal hysterectomy
Official title: Opioid Sparing Effect of Erector Spinae Block in Patients Undergoing Total Abdominal Hysterectomy; A Randomized Control Trial
Run by Kulsoom International Hospital · NCT07178262 · Data updated 2026-11-12
This will test whether giving an erector spinae nerve block during general anesthesia can reduce opioid use for people having an elective total abdominal hysterectomy.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 16 Years to 80 Years |
| Sex | Women only |
| Enrollment | 60 (estimated) |
| Sponsor | Kulsoom International Hospital Academic / other |
| Locations | 1 site (Islamabad, Federal) |
| Status | Recruiting |
| Started | August 1, 2025 |
| Main results expected | October 30, 2025 |
| Study ends | October 30, 2025 |
| Registry record updated | September 17, 2025 |
| Trial ID | NCT07178262 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults (ASA class I–III) scheduled for elective total abdominal hysterectomy who can consent and do not have chronic opioid use or other exclusion criteria.
✕Probably not a fit
Patients with chronic pain, active opioid misuse or addiction, allergy to local anesthetics, or BMI over 35 are excluded and unlikely to gain benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Total abdominal hysterectomy causes substantial postoperative pain and often requires high perioperative opioid doses, which can slow recovery due to nausea, vomiting, constipation, and respiratory depression. In this interventional Phase 4 protocol, participants undergoing elective total abdominal hysterectomy receive either an erector spinae plane (ESP) block with bupivacaine or a placebo block in the perioperative period. Opioid consumption after surgery, along with common opioid-related side effects and recovery measures, will be recorded and compared between groups. Eligible patients are adults classified as ASA I–III having elective procedures at the study hospital.
Why it matters
Potential benefit: If successful, the ESP block could reduce perioperative opioid use and related side effects, helping patients recover more comfortably after hysterectomy.
How similar studies have gone: Fascial plane blocks including ESP and related regional techniques have shown reductions in postoperative opioid use in several surgical settings, but evidence is still emerging and varies by procedure.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * American Society of Anesthesiologists (ASA) class: I, II and III . * Elective Hysterectomy under General Anesthesia. Exclusion Criteria: * Lack of consent * Body mass index \>35 kg/m2 * Allergic to study medicine * Opioid abuse or misuse disorder * Chronic pain
Where it's running
-
Kulsoom Internation Hospital
Islamabad, Federal, Pakistan Recruiting
Study contacts
- Study coordinator: Waqas Anjum, Principal Investigator, MBBS, FCPS
- Email: waqasanjum435@gmail.com
- Phone: +92-310-3308158
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.