Hysteroscopy under general anaesthesia, a near painless procedure.
Anecdotally, hysteroscopy and curettage under general anaesthesia causes crampy postoperative pain. A randomised, double-blind trial to investigate whether intrauterine lignocaine could decrease such pain was initiated by us. At an interim analysis, the results of the study found that almost half of all women studied so far (n = 53) were completely painfree from the moment they awoke with no difference between placebo and treatment groups. Of the remainder, most rated pain as either 'mild', or less. For most women, hysteroscopy, dilatation and curettage causes either none or very little pain postoperatively.
Tong
Stephen
S
Department of Obstetrics and Gynaecology, Monash University, Monash Medical Centre, Clayton, Victoria, Australia. Stephen.Tong@med.monash.edu.au
Zachariah
Rebecca
R
Chua
Boon Ghee
BG
Vollenhoven
Beverley
B
D000328:Adult; D000768:Anesthesia, General; D000779:Anesthetics, Local / Q000627:therapeutic use*; D004107:Dilatation and Curettage / Q000009:adverse effects*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D008012:Lidocaine / Q000627:therapeutic use*; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control*; D011446:Prospective Studies
D000779:Anesthetics, Local; D008012:Lidocaine