Overview
The purpose of this study is to determine whether an injection of a local anesthetic (Bupivacaine with epinephrine) in the vaginal cuff prior to closure would result in less immediate postoperative pain medication and increase patient comfort/satisfaction.
Eligibility
Inclusion Criteria:
- Patients 18 years and older requiring total laparoscopic hysterectomy with or without bilateral salpingo-oophorectomy for benign conditions
- Presence of malignancy
Exclusion Criteria:
- Conversion to laparotomy
- Previous multiple abdominal and/or pelvic surgeries
- Significant medical comorbidities or cardiac history
- Poor initial Aldrete score4 (<10)
- Significant pre-op pain medication use
- Contraindication to any medication that would be used in the study (Bupivacaine, epinephrine, tramadol or oxycodone)