Vaginal Cuff Infiltration with a Local Anesthetic for Postop- erative Pain after Laparoscopic Hysterectomy: A Randomized Control Trial

To assess the effect of local infiltration of anesthetic to the vaginal cuff on postoperative pain after laparoscopic hysterectomy. A single-center, randomized trial. Women assigned to laparoscopic hysterectomy were randomly divided into two groups. In the intervention group (n=41) the vaginal cuff was infiltrated with 10 ml of ropivacaine (7.5 mg/ml) at four points, in addition to trocar-site anesthesia. In the control group (n=40) only trocar incisions were infiltrated with local anesthetic.The primary outcomes were postoperative opioid (oxycodone) use, and postoperative pain in visual analog scale (VAS). Secondary outcomes were emesis, bleeding, operative time, time to discharge and complications.