Clinical trial: ICE T for Post GYN Surgery Pain (NCT03987022)

Eligibility criteria:
Inclusion Criteria:

        The inclusion criteria are the following:

          -  Consenting, English speaking women between ages 18 and 80 who will undergo same day
             laparoscopic gyn surgery at MetroHealth Medical Center

          -  Ability to read VAS Scores

          -  Specific procedures include, but are not limited to:

               -  Laparoscopic hysterectomy, for uterus 250 g or less

               -  Laparoscopic hysterectomy, for uterus 250 g or less; with removal of tube(s),
                  and/or ovary(s)

               -  Laparoscopic hysterectomy, for uterus 250 g or less; with removal of tube(s),
                  and/or ovary(s), with repair of enterocele

               -  Laparoscopic hysterectomy, for uterus 250 g or less; with repair of enterocele

               -  Laparoscopic hysterectomy, for uterus greater than 250 g

               -  Laparoscopic hysterectomy, for uterus greater than 250 g; with removal of tube(s)
                  and/or ovary(s)

               -  Laparoscopic hysterectomy, for uterus greater than 250 g; with removal of tube(s)
                  and/or ovary(s), with repair of enterocele

               -  Laparoscopic hysterectomy, for uterus greater than 250 g; with repair of
                  enterocele

        Exclusion Criteria:

          -  History of chronic pelvic pain

          -  Abdominal surgery

          -  History of psychiatric disease

          -  Currently taking analgesic medications

          -  Currently taking sedatives

          -  Liver disease

          -  Renal disease with CrCl < 60cc/min.

          -  History of burns from application of ice.

          -  Women who did not consent for the study.

          -  Intraoperative concern for increased blood loss

          -  Unable to speak English

          -  Unable to understand VAS Scores

          -  Undergoing concomitant abdominal procedures.

          -  Allergy to motrin, toradol, Percocet, Tylenol

          -  Active or history of peptic ulcer disease

          -  History of GI bleeding or perforation

          -  Hemorrhagic diathesis

          -  Severe uncontrolled heart failure

          -  Inflammatory bowel disease
Female
No healthy subjects accepted to join the trial.
Subject must be at least 18 Years old.
Subject must be at most 80 Years

Patient description (medical language): A 43-year-old woman, gravida 3 para 3, comes to the clinic complaining of recently painful menstrual cycles.  The patient's last menstrual period was 2 weeks ago. Urine β-hCG is negative. Menarche was at age 12, and menstrual periods occur every 28 days and lasts for 5 days.  She is sexually active with her husband and does not have pain with intercourse. BMI is 23 kg/m2 and Vital signs are normal.  On physical examination, the uterus is uniformly enlarged and tender. She is candidate for hysterectomy with the diagnosis of adenomyosis.

Patient description (patient's own words): I'm 43, and I paid a visit to my doctor because my last few periods were insanely painful. My last periods were 2 weeks ago. I already had three pregnancies that gave me the three lovely children. I did a urine test to check for potential pregnancy, and it came back negative. I started to have my periods at the age of 12, and I have been pretty regular with periods every 28 days for 5 days. I'm sexually active with my husband and I do not have any pain when we have sex. My BMI is 23 and my vitals were normal. The doctor performed a physical exam and found that my uterus was tender and enlarged. She proposed me a hysterectomy and diagnosed me with adenomyosis.

Does the patient match the trial criteria? 1