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Trial registered on ANZCTR
Registration number
ACTRN12609000128291
Ethics application status
Approved
Date submitted
2/11/2008
Date registered
23/02/2009
Date last updated
4/06/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Randomised double blind placebo controlled trial on the effect of intraperitoneal ropivacaine on postoperative pain and recovery after diagnostic laparoscopy and hysteroscopy.
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Scientific title
Randomised double blind placebo controlled trial on the effect of intraperitoneal ropivacaine on postoperative pain and recovery after day case gynaecological diagnostic laparoscopy and hysteroscopy.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Post operative pain following day case gynaecological diagnostic laparoscopy and hysteroscopy.
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Postoperative nausea and vomiting following day case gynaecological diagnostic laparoscopy and hysteroscopy
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Postoperative recovery following day case gynaecological diagnostic laparoscopy and hysterocopy.
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Condition category
Condition code
Anaesthesiology
4105
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention is using the local anaesthetic, ropivacaine, intraperitoneally, at the end of the diagnostic hysteroscopy and laparoscopy. The dose used is 20mls of 0.25% (100mg) of ropivacaine. It will take less than two minutes to administer. The intervention treatment will only be administered once.
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Intervention code [1]
3632
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Treatment: Drugs
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Comparator / control treatment
The control is 20mls of normal saline to be administered intraperitoneally at the end of the diagnostic hysteroscopy and laparoscopy. It will take less than two minutes to administer. The control treatment will only be administered once.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Amount of analgesia used postoperatively as indicated from hospital records.
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Assessment method [1]
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Timepoint [1]
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30min, 60min, 120min, 240min after return to the recovery room.
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Secondary outcome [1]
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Pain score which will be assessed by asking the participant to rate their pain on a visual analogue score on a zero to ten scale line.
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Assessment method [1]
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Timepoint [1]
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30 min, 60min, 120min, 240min and 8 hours after return to the recovery room.
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Secondary outcome [2]
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Postoperative recovery generally, measured by how quickly the patient achieves certain milestones - which are - time to first sit up, time to first eating, and time to discharge.
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Assessment method [2]
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Timepoint [2]
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Time to first sit up, time to first eating and time to discharge. These will be measured every 5 minutes in the recovery room and then every 15 minutes once the patient has moved to the waiting room.
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Eligibility
Key inclusion criteria
Two port diagnostic laparoscopy and hysteroscopy for any gynaecological reason, age 18-50 years.
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Age <18 years or >50 years,
- non-English speaking
- weight <50kg
- patient refusal
- operative laparoscopy, laparoscopic sterilization
- pregnancy
- 3rd port required intraoperatively
- use of regular narcotic analgesia for pain preoperatively
- contraindications or allergies to any drugs used in the study (including renal disease, diabetes, Non-Steroidal Anti Inflammatory Drug (NSAID) sensitive asthma)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by number system, using a randomisation table from a statistical book.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2009
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Actual
1/06/2009
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Date of last participant enrolment
Anticipated
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Actual
1/12/2014
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Date of last data collection
Anticipated
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Actual
1/01/2015
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Sample size
Target
60
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
1241
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3977
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Monash Medical Centre
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Address [1]
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Monash Medical Centre, Clayton Rd, Clayton, VIC, 3168
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Natasha Frawley
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Address
Monash Medical Centre, Clayton Rd, Clayton, VIC, 3168
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Professor Beverley Vollenhoven
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Address [1]
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Head of Gynaecology Department, Monash Medical Centre, Clayton Rd, Clayton, VIC, 3168
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Health Human Research Ethics Committee
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Ethics committee address [1]
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Research Support Unit, Level 4 Main block, Monash Medical Centre, Clayton Rd, Clayton, VIC, 3168
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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15/12/2008
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Approval date [1]
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01/04/2009
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Ethics approval number [1]
6167
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Summary
Brief summary
BRIEF SUMMARY: Laparoscopy and hysteroscopy is a common day case gynaecological procedure. This operation involves keyhole surgery, inserting a small telescope-like device or fibreoptic lens into the abdomen via a 10mm port. This enables direct visualisation of inside the abdomen. There is also one other cut on the abdomen of 5mm, where a thin metal probe is inserted. Finally, a second fibreoptic device, is inserted inside the womb via the vagina and cervix, and the inside of the womb is visualised. A scraping of the womb tissue is taken and sent to the pathology laboratory to be analysed under a microscope. Patients usually go home the same day, unless there have been complications. Pain relief for this procedure has not been studied in any recent large trials. Current pain management involves use of pain relief tablets after the operation, and intravenous analgesics during the operation, including ropivacaine, depending on the anaesthetist. We aim to evaluate the use of intraperitoneal Ropivacaine. This is a local anaesthetic medication that can be squirted inside the abdomen at the areas that have been manipulated including the womb and fallopian tubes and injected at port sites, which are the two small incisions on the abdomen. HYPOTHESIS: We hypothesise that the use of ropivacaine at the end of the procedure will reduce post operative pain and hasten recovery after a diagnostic laparoscopy and hysteroscopy.
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Trial website
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Natasha Frawley
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Address
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Department of Obstetrics and Gynaecology, Monash Medical Centre, Clayton Rd, Clayton, VIC, 3168
Or:
Department of Obstetrics and Gynaecology, Box Hill Hospital, Nelson Rd, Box Hill, VIC, 3128
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Country
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Australia
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Phone
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+61 3 9895 3333
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Natasha Frawley
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Address
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Department of Obstetrics and Gynaecology, Monash Medical Centre, Clayton Rd, Clayton, VIC, 3168
Or:
Department of Obstetrics and Gynaecology, Box Hill Hospital, Nelson Rd, Box Hill, VIC, 3128
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Country
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Australia
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Phone
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+61 3 9895 3333
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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