Laparoscopic Combined Hypo Gastric Neural Plexus Block and Uterosacral Nerve Block for Patients With Chronic Idiopathic Pelvic Pain
Chronic Idiopathic Pain Syndrome
About this trial
This is an interventional treatment trial for Chronic Idiopathic Pain Syndrome
Eligibility Criteria
Inclusion Criteria:
• Age 18 to 50 years old.
- American Society of Anesthesiologists physical status (ASA-PS) I and II Patients.
- Sex: female.
- Patients scheduled for elective laparoscopy for diagnosis of the cause of chronic pelvic pain.
Exclusion Criteria:
• Patient refusal.
- Patients on chronic pain medications.
- ASA III or worse clinical condition.
- Intra-abdominal infection.
- Allergy to any of the study medications.
Sites / Locations
- Ain shams universityRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Laparoscopic Hypo gastric Neural Plexus Block
Laparoscopic Combined Hypo gastric Neural Plexus Block and Uterosacral Nerve Block
laparoscopy for diagnosis of the causes of chronic pelvic pain then injecting 5 ml normal saline for hydro dissection of the retroperitoneal space at the level of the sacral promontory then30 ml (14 ml Marcaine +14 ml normal saline+2ml betamethasone) are injected.
laparoscopy for diagnosis and conventional surgical treatment of the causes of pelvic pain then injecting 5 ml normal saline for hydro dissection of the retroperitoneal space at the level of the promontory followed by 30 ml (14 ml Marcaine +14 ml normal saline+2ml betamethasone) then injecting 5 ml ( 2.5 marcaine+1ml betamethasone +1.5 ml normal saline) 2 cm away from the cervix at the uterosacral ligament on each sides.