ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2025
Paracervical block during vaginal natural orifice transluminal endoscopic surgery reduces postoperative pain and analgesic consumption: a retrospective cohort study.
Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Vaginal natural orifice transluminal endoscopic surgery versus conventional multiport laparoscopy for hemorrhagic ovarian cyst rupture with hemoperitoneum: a multicenter retrospective cohort study.BMC women's health · 2026Article
- Efficacy of unilateral laparoscopic-guided abdominal wall block compared to local infiltration in postoperative analgesia following laparoscopic cholecystectomy: a single-center randomized controlled trial.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026Article
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Abstract
introductionVaginal natural orifice transluminal endoscopic surgery (vNOTES) for bilateral tubal ligation may cause notable early postoperative pain, leading to opioid use. Paracervical block (PBC) could support analgesia within enhanced recovery after surgery (ERAS) pathways.
aimThe aim of this study was to evaluate whether the use of PBC improved postoperative pain scores, reduced analgesic requirements, and affected short-term sexual function. MATERIALS AND
methodsIn this retrospective cohort study, 43 women underwent bilateral tubal ligation via vNOTES at the Iğdır Dr. Nevruz Erez State Hospital. Twenty patients received PBC with 10 ml of 0.5% bupivacaine injected at the 3 and 9 o'clock cervicovaginal junction, whereas 23 women served as controls. Outcomes included visual analog scale (VAS) pain scores at 1, 6 and 24 hours postoperatively, intra- and postoperative opioid use, and Female Sexual Function Index (FSFI) scores preoperatively and 1 month after surgery.
resultPBC significantly lowered 24-hour VAS scores (mean [SD], 3 vs 4;
conclusionIncorporating PBC into vNOTES enhances early pain control and decreases intraoperative opioid use without delaying discharge, while favorably influencing short-term sexual function. PBC is a simple, effective adjunct that aligns with ERAS goals in minimally-invasive gynecologic surgery.
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