Paracervical local anaesthesia for cervical dilatation and uterine intervention

Comparative study of patients undergoing check curettage for first trimester incomplete and inevitable abortion under paracervical block versus no anesthesia

“…1,8,9 Each study had investigated the effect of a particular type of anesthesia and compared it to either another type or another dose of anesthesia. In spite of the numerous studies performed, consensus is still lacking as to the preferred and safest mode of anesthesia for patients with an incomplete abortion.…”

Parenterally Administered Moderate Sedation and Paracervical Block Versus General Anesthesia for Hysteroscopic Polypectomy: A Pilot Study Comparing Postoperative Outcomes

“…A previous meta-analysis [13] stated that PCB ''doesn't reduce the pain of uterine intervention,'' but this conclusion does not apply specifically to hysteroscopic polypectomy because the review included many other kinds of uterine interventions such as endometrial biopsy, fractional curettage, and vacuum aspiration. In line with our data are the observations that the vaginoscopic approach and the use of thinner and more flexible instruments [14][15][16] allow operative hysteroscopy for cervical and/or endometrial polyps without anesthesia, evocating low or moderate pain [17].…”

Postoperative pain management following ambulatory anesthesia: challenges and solutions

“…90 Pelvic plexus block can be used for ambulatory transrectal ultrasound-guided prostate biopsy 91 and paracervical block for cervical dilatation and uterine interventions. 92 To extend the duration and quality of analgesia, adjuvants are often added to single-bolus peripheral nerve blocks, as otherwise the limited duration of effect results in development of pain soon after discharge. This has been recommended in particular in the pediatric setting.…”