| Unique ID issued by UMIN | UMIN000061338 |
|---|---|
| Receipt number | R000070183 |
| Scientific Title | A Prospective Single-Center Two-Group Comparative Study on the Efficacy of Intraoperative Paracervical Block for Postoperative Pain Control in Vaginally Assisted NOTES Hysterectomy |
| Date of disclosure of the study information | 2026/04/21 |
| Last modified on | 2026/04/21 16:23:41 |
A study to compare different methods of local anesthesia during uterine surgery and their effects on pain
PLUTO study
A Prospective Single-Center Two-Group Comparative Study on the Efficacy of Intraoperative Paracervical Block for Postoperative Pain Control in Vaginally Assisted NOTES Hysterectomy
PLUTO study
| Japan |
Patients with benign uterine diseases undergoing transvaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy
| Obstetrics and Gynecology |
Others
NO
The aim of this study is to evaluate whether the use of a paracervical block (PCB) in vaginally assisted natural orifice transluminal endoscopic surgery hysterectomy (VANH) reduces postoperative pain and the consumption of analgesics.
Safety,Efficacy
Postoperative pain assessed using the visual analog scale (VAS) at 6 hours after surgery.
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Placebo
2
Treatment
| Medicine |
PCB with lidocaine (total 10 mL)
PCB with normal saline (total 10 mL) as placebo
| 20 | years-old | <= |
| 74 | years-old | >= |
Female
Patients scheduled to undergo VANH who have received a written explanation of the study and provided informed consent prior to surgery.
Patients who did not provide informed consent
Patients with a history of hypersensitivity to local anesthetics
Patients with contraindications to general anesthesia (ASA-PS >= 3)
Patients with moderate to severe renal dysfunction (eGFR <= 50 mL/min/1.73 m2)
Patients with severe hepatic dysfunction (Child-Pugh class B or C)
Patients with chronic opioid use prior to surgery
Patients with psychiatric or cognitive conditions that may interfere with reliable VAS assessment
Patients deemed unsuitable for participation by the principal investigator
40
| 1st name | Ai |
| Middle name | |
| Last name | Kogiku |
Kobe City Nishi-Kobe Medical Center
Obstetrics and gynecology
6512273
5-7-1 Kojidai, Nishi-ku, Kobe, Hyogo, Japan
0789972200
ai_kogiku@kcho.jp
| 1st name | Ai |
| Middle name | |
| Last name | Kogiku |
Kobe City Nishi-Kobe Medical Center
Obstetrics and gynecology
6512273
5-7-1 Kojidai, Nishi-ku, Kobe, Hyogo, Japan
0789972200
ai_kogiku@kcho.jp
Kobe City Nishi-Kobe Medical Center
None
Self funding
Kobe City Nishi-Kobe Medical Center
5-7-1 Kojidai, Nishi-ku, Kobe, Hyogo, Japan
0789972200
ai_kogiku@kcho.jp
NO
| 2026 | Year | 04 | Month | 21 | Day |
Unpublished
Open public recruiting
| 2026 | Year | 04 | Month | 21 | Day |
| 2026 | Year | 03 | Month | 26 | Day |
| 2026 | Year | 04 | Month | 21 | Day |
| 2027 | Year | 05 | Month | 31 | Day |
| 2026 | Year | 04 | Month | 21 | Day |
| 2026 | Year | 04 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070183