Infusion of pain relief medication after minimally invasive hysterectomy
Official title: The Impact of the Continuous Infusion of Intraperitoneal Analgesics on Postoperative Pain After Minimally Invasive Hysterectomy: a Randomized Controlled Trial
Run by George Washington University · NCT04130464 · Data updated 2026-11-12
This study is testing if a continuous infusion of pain relief medication can help women feel less pain after having a minimally invasive hysterectomy compared to a placebo.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | Women only |
| Enrollment | 120 (estimated) |
| Sponsor | George Washington University Academic / other |
| Locations | 2 sites (Washington D.C., District of Columbia and 1 other locations) |
| Status | Recruiting |
| Started | September 30, 2019 |
| Main results expected | September 2026 |
| Study ends | December 2026 |
| Registry record updated | April 9, 2026 |
| Trial ID | NCT04130464 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are women scheduled for a minimally invasive hysterectomy for benign gynecologic conditions.
✕Probably not a fit
Patients with concerns for malignancy or allergies to study medications will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effectiveness of continuous intraperitoneal infusion of local anesthetic and NSAID for managing postoperative pain in women undergoing minimally invasive hysterectomy. Participants will be randomly assigned to receive either a local anesthetic, a combination of local anesthetic and NSAID, or a placebo. The study aims to determine if these interventions can significantly reduce pain and the need for narcotics post-surgery compared to a control group receiving saline. The trial will involve multiple centers and will utilize a double-blinded, placebo-controlled design to ensure unbiased results.
Why it matters
Potential benefit: If successful, this approach could significantly reduce postoperative pain and narcotic use, improving recovery for patients.
How similar studies have gone: Other studies have shown promising results with similar approaches to postoperative pain management, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Hysterectomy planned for a benign gynecologic reason (no evidence of, or concern for, malignancy in the cervix, uterus, tubes or ovaries. Benign gynecologic reasons to have a hysterectomy include fibroids, abnormal uterine bleeding, endometriosis, and pelvic pain.) * Patient is scheduled to have surgery with a fellowship trained minimally invasive gynecologic surgeons at one of the study sites. * Patient is planned for a robotic assisted total laparoscopic hysterectomy (RA-TLH) or a total laparoscopic hysterectomy (TLH). * Patient is capable of informed consent. * Patient is capable of completing the questionnaires. Exclusion Criteria: * Concern for malignancy * The procedure is scheduled outside MIGS department. * Allergy to any study related medication (i.e. Ketorolac and Ropivacaine) * Patient is enrolled in another pain management study.
Where it's running
-
MedStar Washington Hospital Center
Washington D.C., District of Columbia, United States Recruiting -
The GW Medical Faculty Associates
Washington D.C., District of Columbia, United States Recruiting
Study contacts
- Principal investigator: Jennifer Keller, MD — Physician
- Study coordinator: Radwa Aly
- Email: raly@mfa.gwu.edu
- Phone: 202 677 6209
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Predictors of Success and Failure of v-NOTES Hysterectomy for Large Uteri
This study looks at which factors predict whether a v-NOTES hysterectomy for large uteri will be completed without needing to switch to another surgical approach.
-
Low-Volume PENG Block With Dexamethasone After Hip Replacement
This trial tests whether a smaller PENG block with dexamethasone provides similar pain relief but preserves quadriceps strength after hip replacement, compared with the standard-volume PENG block.
-
Hybrid robotic surgery for gynecologic procedures using ROB platform
This study tests whether the ROB robotic platform and its endoscopic instruments can be safely used to perform laparoscopic hysterectomy with or without removal of tubes and/or ovaries in adult women.
-
Analgesia after open inguinal hernia repair using intrathecal morphine or a transversalis fascia plane block
This trial tests whether intrathecal morphine or a ultrasound-guided transversalis fascia plane block can provide better pain relief after open inguinal hernia repair in adults.
-
Biofeedback-Assisted Pelvic Floor Training After Hysterectomy
This study tests whether biofeedback-guided pelvic floor exercises after hysterectomy can improve pelvic floor strength, reduce urinary leakage, lessen genital prolapse, and boost quality of life.
-
Single-level vs two-level erector spinae plane block for breast surgery
This study tests whether a single-level ESPB provides similar pain relief to a two-level ESPB for adults undergoing breast surgery.
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.