Sabry, M., Masoud, A., Khedr, I., Elshamy, E. (2023). Combined Intrauterine Lignocaine Injection and Paracervical Block Gives More Pain Relief Than Either Method Alone in Dilatation and Curettage Procedure. The Egyptian Journal of Hospital Medicine, 90(1), 14-18. doi: 10.21608/ejhm.2023.279023
Mohammed Ismail Sabry; Alaa Masoud; Israa Khedr; Elsayed Elshamy. "Combined Intrauterine Lignocaine Injection and Paracervical Block Gives More Pain Relief Than Either Method Alone in Dilatation and Curettage Procedure". The Egyptian Journal of Hospital Medicine, 90, 1, 2023, 14-18. doi: 10.21608/ejhm.2023.279023
Sabry, M., Masoud, A., Khedr, I., Elshamy, E. (2023). 'Combined Intrauterine Lignocaine Injection and Paracervical Block Gives More Pain Relief Than Either Method Alone in Dilatation and Curettage Procedure', The Egyptian Journal of Hospital Medicine, 90(1), pp. 14-18. doi: 10.21608/ejhm.2023.279023
Sabry, M., Masoud, A., Khedr, I., Elshamy, E. Combined Intrauterine Lignocaine Injection and Paracervical Block Gives More Pain Relief Than Either Method Alone in Dilatation and Curettage Procedure. The Egyptian Journal of Hospital Medicine, 2023; 90(1): 14-18. doi: 10.21608/ejhm.2023.279023
Combined Intrauterine Lignocaine Injection and Paracervical Block Gives More Pain Relief Than Either Method Alone in Dilatation and Curettage Procedure
11Department of Obstetrics and Gynecology, Menoufia University Hospital, Menoufia, Egypt.
22Department of Obstetrics and Gynecology, Quesna Central Hospital, Menoufia, Egypt
33Department of Obstetrics and Gynecology, King Abdul-Aziz airbase Hospital, Dhuhran, Saudi Arabia
Abstract
Background: Endometrial samples are typically obtained by the gynecological procedure known as dilatation and curettage (D & C). Anesthesia is required for the surgery. Although paracervical blocks are frequently employed, the pain they cause is mild to moderate. Objective: The aim of this study was to compare the efficacy of intrauterine instillation of lidocaine, paracervical block, and a combination of the two procedures for their ability to control intra- and post-operative pain during and after endometrial curettage. Patients and Methods: This research was conducted in Ob/Gyn Departments of Menoufia University Hospital and Quesna Central Hospital. 90 women were scheduled for endometrial curettage were divided into three equal groups by random selection: Group 1 (n=30): Lidocaine 2% was administered intra-uterine. Group 2 (n=30): Received paracervical blockage. Group 3 (n=30): Received combined intrauterine lidocaine and paracervical block. Results: The current study showed that mean VAS value of D and C time was statistically higher among lidocaine (4.9 ± 0.76) than in combined intrauterine lidocaine and paracervical block (3.93 ± 0.83). Mean VAS value of D and C time was statistically higher among paracervical block (4.6 ± 1.13) than in combined intrauterine lidocaine and paracervical block (3.93 ± 0.83). Five minutes after the procedure, pain was least after the combined technique (group 3) then after intrauterine lidocaine group (group 1) then after paracervical block (group 2), (VAS:2.6 ± 0.93, 2.9 ± 0.9 and 3.67 ± 0.96 respectively). Conclusion: Greater analgesia was provided by using intrauterine lidocaine in combination with paracervical block than by using either lidocaine or paracervical block alone.
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