Hysteroscopic local anaesthetic intrauterine cornual 'focal local' block before endometrial ablation with direct cervical block in an outpatient setting: a feasibility study

Vinod Kumar, Janesh Gupta, Janesh Kumar Gupta
European journal of obstetrics, gynecology, and reproductive biology · 2013 · vol. 170(1) , pp. 222–224 · doi:10.1016/j.ejogrb.2013.06.010 · PMID:23838592 · W1981313751
Non-randomised trial OA: closed CC0
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-13 ⓘ

This feasibility study investigated the safety and efficacy of a hysteroscopic local anesthetic intrauterine cornual block combined with a direct cervical block for outpatient endometrial ablation.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

OBJECTIVE: To evaluate the safety, feasibility and efficacy of a hysteroscopic local anaesthetic intrauterine cornual block (ICOB) on women's perception of pain during outpatient Thermachoice endometrial ablation (TEA). STUDY DESIGN: Pre-menopausal women with heavy menstrual bleeding undergoing TEA were included in the study. The intervention used, ICOB, was a hysteroscopic injection of local anaesthetic into the myometrium just medial to each tubal ostium. The women also had a traditional direct cervical block (DCB). We measured the acceptability of ICOB and the pain score (visual analogue score scale) immediately after the procedure. RESULTS: We treated 30 patients (mean age 41 years, SD 6; BMI 29±7) between January 2012 and December 2012. All patients had a successful ICOB block and found TEA with ICOB acceptable. The mean VAS score was 3.5±2.7, which was two points lower compared to our earlier prospective cohort of patients undergoing TEA with only a DCB (mean 5.8±2.7, n=102). No serious complications occurred during the procedure or postoperatively. Three patients experienced a vasovagal response which resolved spontaneously. CONCLUSION: ICOB with DCB is a safe, feasible and efficacious method of pain control during TEA. There is however a need to evaluate efficacy of ICOB in a randomised placebo controlled trial.

My notes (saved in your browser only)

MeSH descriptors

Anesthesia, Local Endometrial Ablation Techniques Adult Anesthesia, Local Feasibility Studies Female Humans Hysteroscopy Pain Measurement Prospective Studies

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (4)

References (21)

Source provenance

openalex
last seen: 2026-05-11T05:39:31.692385+00:00
pubmed
last seen: 2026-10-08T21:12:08.185882+00:00
unpaywall
last seen: 2026-10-17T06:24:38.187582+00:00
License: CC0 · commercial use OK