QL Block in Laparoscopic Myomectomy

Description

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.

Conditions

Postoperative Pain, Fibroid Uterus

Study Overview

Study Details

Study overview

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.

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

QL Block in Laparoscopic Myomectomy

Condition
Postoperative Pain
Intervention / Treatment

-

Contacts and Locations

Beachwood

University Hospitals Ahuja Medical Center, Beachwood, Ohio, United States, 44122

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Presence of uterine fibroids requiring surgical excision with preservation of the uterus
  • * Stated willingness to comply with all study procedures and availability for the duration of the study
  • * Provision of signed and dated informed consent form
  • * Pre-existing diagnoses of anxiety or depression
  • * Pre-existing coagulopathies
  • * Pre-existing neuropathic or chronic pelvic pain
  • * Chronic opioid use
  • * Illiteracy due to inability to read and understand plain questionnaire
  • * Non-English speaking
  • * BMI \>38

Ages Eligible for Study

18 Years to 45 Years

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Joseph Findley MD,

Joseph Findley, MD, PRINCIPAL_INVESTIGATOR, University Hospitals

Study Record Dates

2025-07-03