background and objective: hysteroscopy is considered as very important in the investigation of abnormal uterine bleeding. it is usually performed as an outpatient procedure under either local or no anesthesia. this study was designed to compare the combination of paracervical block (pcb) and conscious sedation with paracervical block or conscious sedation alone for outpatient hysteroscopy in te...

OBJECTIVE To compare pain control at various time points during first-trimester surgical abortion using a patient-administered lidocaine gel compared with a traditional lidocaine paracervical block. METHODS We conducted a randomized controlled trial of women undergoing surgical abortion at less than 12 weeks of gestation in an outpatient setting. The primary outcome was pain at cervical dilat...

OBJECTIVE To compare the effectiveness of paracervical block, intrauterine lidocaine and oral etodolac in decreasing the pain caused by pipelle endometrial sampling. A secondary goal of this study was to determine the adverse effects and compare possible effects of these methods on pulse and blood pressure. MATERIAL AND METHODS The study was performed between April 2006 and October 2006 in th...

Objective to assess the efficacy and safety of intrauterine bubivacaine instillation, lidocaine spray and paracervical block in outpatient hysteroscopy Design randomized controlled trial Setting university hospital Method A total of 160 women planned to do office hysteroscopy (outpatient hysteroscopy enrolled in this study). The study was performed using 5mL of isobaric bupivacaine hydrochlorid...

Seventy-five patients were anaesthetized for termination of pregnancy by suction curettage using four methods of anaesthesia. Blood loss was measured with a haemoglobin dilution technique. The patients' opinion of the anaesthetic was recorded. Blood loss was unacceptably high with thiopentone, nitrous oxide and oxygen with trichloroethylene compared with the other three techniques which were: d...

OBJECTIVE To compare the efficacy of oral etoricoxib and placebo combined with paracervical block for pain relief during fractional curettage MATERIAL AND METHOD A double-blind, randomized controlled trial that included 220 women who underwent fractional curettage and received paracervical block for pain relief was done at Ramathibodi Hospital between September 2005 and June 2006. One hundred...

OBJECTIVE To evaluate the safety, feasibility and efficacy of endometrial ablation under local anesthesia. STUDY DESIGN A prospective cohort study was performed at the gynecology department of a large teaching hospital. Women with dysfunctional uterine bleeding were included to undergo NovaSure endometrial ablation with paracervical block. We measured the acceptability, pain score (visual ana...