Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

624
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
624
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

430
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
430

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Feasibility and short-term outcomes of vNOTES versus conventional laparoscopic hysterectomy in obese patients.

BMC surgery·2026
Same author

Extraperitoneal versus transperitoneal approach in vNOTES sacrocolpopexy: a comparative pilot study.

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy·2026
Same author

Comparison of conventional multiport laparoscopy, single-port laparoscopy, and vNOTES for the management of large adnexal masses (≥ 10 cm): a retrospective cohort study.

BMC women's health·2026
Same author

Urinary NGF and BDNF as biomarkers of voiding dysfunction in children of mothers with overactive bladder.

Journal of pediatric urology·2026
Same author

Placental Versus Cerebral Doppler Parameters in Early-Onset and Late-Onset Fetal Growth Restriction: No Additional Prognostic Value of Middle Cerebral Artery Diastolic Deceleration Area.

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine·2026
Same author

Retroperitoneal sentinel lymph node biopsy using vNOTES in endometrial cancer patients with a BMI ≥ 30 kg/m<sup>2</sup>: a pilot multicenter case series by the Turkish gynecologic oncology group (TRSGO-SLN12).

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy·2026

Related Experiment Video

Updated: Jun 30, 2025

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
08:50

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy

Published on: June 25, 2013

13.3K

Paracervical block before laparoscopic total hysterectomy: A randomized controlled trial.

Kemal Güngördük1, Varol Gülseren2, Leyla Taştan1

  • 1Muğla Sıtkı Koçman University, Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Turkey.

Taiwanese Journal of Obstetrics & Gynecology
|March 14, 2024
PubMed
Summary

Paracervical block with bupivacaine effectively reduced postoperative pain and analgesic needs in women undergoing total laparoscopic hysterectomy (TLH). This safe method improved patient quality of recovery after the procedure.

Keywords:
Laparoscopic hysterectomyParacervical blockRandomized trial

More Related Videos

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

5.3K
Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
03:30

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Published on: October 25, 2024

1.5K

Related Experiment Videos

Last Updated: Jun 30, 2025

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
08:50

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy

Published on: June 25, 2013

13.3K
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

5.3K
Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
03:30

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Published on: October 25, 2024

1.5K

Area of Science:

  • Anesthesiology
  • Gynecologic Surgery
  • Pain Management

Background:

  • Postoperative pain is a significant concern following gynecologic procedures like total laparoscopic hysterectomy (TLH).
  • Effective pain management strategies are crucial for improving patient recovery and satisfaction.

Purpose of the Study:

  • To evaluate the efficacy of a paracervical block using 0.5% bupivacaine in reducing postoperative pain after TLH.
  • To assess the impact of this intervention on analgesic requirements and quality of recovery.

Main Methods:

  • A randomized, double-blind, placebo-controlled trial involving 152 women undergoing TLH.
  • Participants received either 10 mL of 0.5% bupivacaine or normal saline via paracervical block before surgery.
  • Pain was assessed using the Visual Analog Scale (VAS) at multiple postoperative time points.

Main Results:

  • The bupivacaine group showed significantly lower VAS scores at 1 hour postoperatively compared to the placebo group (5.7 vs. 6.8, P < 0.001).
  • Lower VAS scores were also observed at 30 minutes, 3 hours, and 6 hours postoperatively in the bupivacaine group.
  • Patients receiving bupivacaine had a reduced need for analgesics in the first 24 hours (7.8% vs. 21%, P = 0.021) and reported higher quality of recovery scores.

Conclusions:

  • Preoperative paracervical block with 0.5% bupivacaine is an effective and safe method to manage postoperative pain after TLH.
  • This intervention significantly decreases pain intensity and reduces the need for supplementary analgesics.
  • The use of bupivacaine paracervical block contributes to an improved overall quality of recovery for patients undergoing TLH.