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Comparison of lidocaine spray and paracervical block application for pain relief during first-trimester surgical abortion: A randomised, double-blind, placebo-controlled trial.
J Obstet Gynaecol. 2016 Jul; 36(5):649-53.JO

Abstract

Surgical abortion is one of the most frequently performed gynaecological procedures and its associated pain has always been a problem in gynaecology. Here we studied the analgesic efficacy of lidocaine spray and paracervical block (PCB) in patients undergoing first-trimester surgical abortion. A randomised double-blind placebo-controlled study was conducted on 108 women requesting pregnancy termination. The subjects were randomly assigned into four groups: Group 1 (PCB plus lidocaine spray) (n=27), Group 2 (PCB) (n=27), Group 3 (lidocaine spray) (n=27) and Group 4 (placebo) (n=27). Intra-procedural and post-procedural pain scores were measured with a standard visual analogue scale (VAS). The median VAS scores during procedure in placebo, lidocaine spray, PCB plus lidocaine spray and PCB groups were 8 (7-9), 5 (4-8), 4 (3-4) and 5 (3-5), respectively. The most effective method of pain relief during first-trimester abortion can be achieved through a combined use of PCB plus lidocaine spray. Therefore, lidocaine spray is a non-invasive complementary anaesthetic method versus traditional PCB for first-trimester surgical abortion.

Authors+Show Affiliations

a Department of Obstetrics and Gynaecology , Kayseri Military Hospital , Kayseri , Turkey .b Department of Obstetrics and Gynaecology , Kayseri Memorial Hospital , Kayseri , Turkey .c Department of Obstetrics and Gynaecology , Kayseri Education and Research Hospital of Medicine , Kayseri , Turkey .d Department of Family Planning , Kayseri Education and Research Hospital of Medicine , Kayseri , Turkey .c Department of Obstetrics and Gynaecology , Kayseri Education and Research Hospital of Medicine , Kayseri , Turkey .e Department of Obstetrics and Gynaecology , Kayseri Acıbadem Hospital , Kayseri , Turkey , and.e Department of Obstetrics and Gynaecology , Kayseri Acıbadem Hospital , Kayseri , Turkey , and.f Department of Obstetrics and Gynaecology , Private Erciyes Hospital , Kayseri , Turkey.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26926158

Citation

Aksoy, Huseyin, et al. "Comparison of Lidocaine Spray and Paracervical Block Application for Pain Relief During First-trimester Surgical Abortion: a Randomised, Double-blind, Placebo-controlled Trial." Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, vol. 36, no. 5, 2016, pp. 649-53.
Aksoy H, Aksoy U, Ozyurt S, et al. Comparison of lidocaine spray and paracervical block application for pain relief during first-trimester surgical abortion: A randomised, double-blind, placebo-controlled trial. J Obstet Gynaecol. 2016;36(5):649-53.
Aksoy, H., Aksoy, U., Ozyurt, S., Ozoglu, N., Acmaz, G., Aydın, T., İdem Karadağ, Ö., & Tayyar, A. T. (2016). Comparison of lidocaine spray and paracervical block application for pain relief during first-trimester surgical abortion: A randomised, double-blind, placebo-controlled trial. Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, 36(5), 649-53. https://doi.org/10.3109/01443615.2016.1148681
Aksoy H, et al. Comparison of Lidocaine Spray and Paracervical Block Application for Pain Relief During First-trimester Surgical Abortion: a Randomised, Double-blind, Placebo-controlled Trial. J Obstet Gynaecol. 2016;36(5):649-53. PubMed PMID: 26926158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of lidocaine spray and paracervical block application for pain relief during first-trimester surgical abortion: A randomised, double-blind, placebo-controlled trial. AU - Aksoy,Huseyin, AU - Aksoy,Ulku, AU - Ozyurt,Sezin, AU - Ozoglu,Nil, AU - Acmaz,Gokhan, AU - Aydın,Turgut, AU - İdem Karadağ,Özge, AU - Tayyar,Ahter Tanay, Y1 - 2016/02/29/ PY - 2016/3/2/entrez PY - 2016/3/2/pubmed PY - 2017/6/24/medline KW - Analgesia KW - lidocaine spray KW - paracervical block KW - surgical abortion SP - 649 EP - 53 JF - Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology JO - J Obstet Gynaecol VL - 36 IS - 5 N2 - Surgical abortion is one of the most frequently performed gynaecological procedures and its associated pain has always been a problem in gynaecology. Here we studied the analgesic efficacy of lidocaine spray and paracervical block (PCB) in patients undergoing first-trimester surgical abortion. A randomised double-blind placebo-controlled study was conducted on 108 women requesting pregnancy termination. The subjects were randomly assigned into four groups: Group 1 (PCB plus lidocaine spray) (n=27), Group 2 (PCB) (n=27), Group 3 (lidocaine spray) (n=27) and Group 4 (placebo) (n=27). Intra-procedural and post-procedural pain scores were measured with a standard visual analogue scale (VAS). The median VAS scores during procedure in placebo, lidocaine spray, PCB plus lidocaine spray and PCB groups were 8 (7-9), 5 (4-8), 4 (3-4) and 5 (3-5), respectively. The most effective method of pain relief during first-trimester abortion can be achieved through a combined use of PCB plus lidocaine spray. Therefore, lidocaine spray is a non-invasive complementary anaesthetic method versus traditional PCB for first-trimester surgical abortion. SN - 1364-6893 UR - https://www.unboundmedicine.com/medline/citation/26926158/Comparison_of_lidocaine_spray_and_paracervical_block_application_for_pain_relief_during_first_trimester_surgical_abortion:_A_randomised_double_blind_placebo_controlled_trial_ DB - PRIME DP - Unbound Medicine ER -