Intrauterine lignocaine as an anaesthetic during endometrial sampling: a randomised double-blind controlled trial.
rct · Level II
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Abstract
To evaluate the effectiveness of intrauterine lignocaine as an anaesthetic during endometrial sampling. Prospective, randomised, double-blind, placebo-controlled trial. Outpatient gynaecological minor operation unit in a public hospital. Two hundred premenopausal women scheduled for endometrial sampling because of abnormal uterine bleeding. Transcervical intrauterine instillation of 5 mL of 2% lignocaine or 5 mL of normal saline before performing endometrial sampling with vacuum aspirator. Evaluation of pain associated with the procedure using a visual analogue scale. The use of intrauterine lignocaine reduced pain during suction curettage in endometrial sampling. Transcervical instillation of lignocaine reduced pain during endometrial sampling.
Medical subject headings
- Anesthetics, Local
- Endometrium
- Gynecologic Surgical Procedures
- Lidocaine
- Postoperative Pain
- Uterine Hemorrhage