Anterior Quadratus Lumborum Block as a Component of Multimodal Analgesia for Abdominal Hysterectomies
NCT07046949 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 56
Last updated 2025-12-16
Summary
The main goal of this randomised double-blinded controlled trial is to assess whether adding anterior quadratus lumborum block preoperatively can reduce intraoperative and postoperative opioid consumption, reduce pain after abdominal hysterectomy and improve quality of recovery after anesthesia. The study hypothesis is that anterior QL block bilaterally before the start of a surgery has no impact on perioperative pain relief, can't reduce the need in opioids and will not improve quality of recovery after anesthesia.
All patients will undergo general anesthesia with tracheal intubation and mechanical ventilation. Patients will be randomized into two groups. In addition to general anesthesia and multimodal analgesia with parenteral medication II (QL) group will receive also anterior quadratus lumborum block as a regional component.
Conditions
- Uterine Bleeding
- Uterine Neoplasms
- Uterine Diseases
- Uterine Fibroids
Interventions
- PROCEDURE
-
ANTERİOR QUADRATUS LUMBORUM BLOCK
Ultrasound-guided anterior QL block performed preoperatively
- DRUG
-
Parenteral administration of analgesics
Intravenous opioids or NSAIDs used perioperatively.
- PROCEDURE
-
General Anesthesia (GA)
Standard general anesthesia per continious 1% propofol infusion and propofol bolus administration, atracurium and fentanyl administration.
Sponsors & Collaborators
-
Danylo Halytsky Lviv National Medical University
collaborator OTHER -
Yuri Semenyuk Rivne Regional Clinical Hospital
lead OTHER
Principal Investigators
-
Olha Filyk, Professor · Danylo Halytsky Lviv National Medical University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 55 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-07
- Primary Completion
- 2025-12-08
- Completion
- 2025-12-11
Countries
- Ukraine
Study Locations
More Related Trials
-
Multimodal Pain Management After Robotic-Assisted Total Laparoscopic Hysterectomy
NCT04429022 ·Status: COMPLETED ·Phase: PHASE3
-
Ultrasound Guided QLB Versus Laparoscopic Superior Hypogastric Plexus Block for Postoperative Analgesia After Laparoscopic Hysterectomy
NCT06359743 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
The Influence of TAP Block in the Control of Postoperative Pain After Laparotomy for Gynecological Procedures
NCT04172272 ·Status: UNKNOWN ·Phase: NA
-
Paracervical Block in Laparoscopic Hysterectomy
NCT03792009 ·Status: UNKNOWN ·Phase: NA
-
Analgesic Effects of US Bilateral Rectus Sheath Block for Laparoscopic GY Surgery
NCT02476799 ·Status: COMPLETED ·Phase: NA
-
Reducing Operative Blood Loss in Laparoscopic Myomectomy With Umbilico-uterine Trunk Clipping
NCT07200778 ·Status: RECRUITING ·Phase: NA
-
Evaluation and Comparison Between General Anesthesia VS Two Types of Combined Anesthesia for Opioid Consumption in Laparoscopic Hysterectomy
NCT06642649 ·Status: RECRUITING ·Phase: NA
-
Vaginal Hysterectomy, Laparoscopic Hysterectomy, Postoperative Pain
NCT01442961 ·Status: COMPLETED ·Phase: NA
-
Deep Neuromuscular Block Affect the Quality of Recovery After Laparoscopic Hysterectomy
NCT06469866 ·Status: RECRUITING ·Phase: NA
-
ESP vs TAP in Total Laparoscopic Hysterectomy
NCT04839445 ·Status: COMPLETED ·Phase: NA
-
Combined Anesthesia for Laparoscopy Surgery in Gynecology
NCT01246323 ·Status: UNKNOWN ·Phase: NA
-
Transversus Abdominal Plane Block at Total Laparoscopic Hysterectomy: Effect on Quality of Recovery
NCT01479270 ·Status: COMPLETED ·Phase: NA
-
Two-channel Intravenous Patient-controlled Analgesia (IV-PCA) After Total Laparoscopic Hysterectomy (TLH)
NCT04082039 ·Status: COMPLETED ·Phase: NA
-
Analgesic Efficacy of Plan Blocks in Laparoscopic Hysterectomies
NCT05925972 ·Status: COMPLETED ·Phase: NA
-
Investigating the Optimal Remifentanil and Dexmedetomidine Concentration for Uterine Fibroid Ablation
NCT06640738 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Utilization of Uterine Manipulator in Abdominal Hysterectomy
NCT03943485 ·Status: COMPLETED ·Phase: NA
-
Recovery After Laparoscopic Hysterectomy With Deep Neuromuscular Blockade and Low Intra-abdominal Pressure
NCT01722097 ·Status: COMPLETED ·Phase: PHASE4
-
Postoperative Pain After Total Laparoscopic Hysterectomy: a Comparison of Single-port and Three-port Laparoscopy
NCT02390804 ·Status: COMPLETED ·Phase: NA
-
Quadratus Lumborum Nerve Blocks for Myomectomies
NCT03935815 ·Status: TERMINATED ·Phase: PHASE1
-
Clinical Analysis of Pain After Hysterectomy
NCT01706549 ·Status: COMPLETED
-
Efficacy of Laparoscopic-assisted Transversus Abdominus Plane (TAP) Block Compared to Ultrasound-guided TAP Block in Minimally Invasive Gynecologic Surgeries: A Prospective, Randomized Control Trial.
NCT04345341 ·Status: COMPLETED ·Phase: PHASE2
-
Effect of Preoperative Rectus Sheath Block on Quality of Recovery in Single Port Laparoscopic Adnexal Surgery
NCT05984212 ·Status: UNKNOWN ·Phase: NA
-
The Impact of the Anaesthetic Technique Employed on the Quality of Recovery in Patients Undergoing Hysterectomy Surgery.
NCT06461832 ·Status: COMPLETED
-
Epidural Anesthesia and Myomectomy Associated Bleeding
NCT04629573 ·Status: COMPLETED ·Phase: NA
-
Laparascopic TAP and Hysterectomy Trial #2
NCT03711981 ·Status: COMPLETED ·Phase: NA