Ice T Postoperative Multimodal Pain Regimen in FPMRS Surgery
Condition: Pain, Postoperative; Pelvic Organ Prolapse
MeSH terms: Prolapse; Pain, Postoperative; Pelvic Organ Prolapse
Intervention: Ice T; Motrin/Percocet/Dilaudid for breakthrough
Intervention description: Ice/Tylenol/Toradol with dilaudid for breakthrough; Standard regimen
Intervention MeSH terms: Hydromorphone
Phase: Phase 4
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Enrollment: 66.0
Sex: Female
Minimum age: 18 Years
Maximum age: 80 Years
Healthy volunteers: Accepts Healthy Volunteers

Summary:

      The purpose of this randomized controlled trial is to determine whether, "ICE-T," a novel
      multimodal postoperative pain regimen composed of around the clock ice packs, toradol, and
      tylenol, has improved pain control intake compared to the standard postoperative pain regimen
      in patients undergoing vaginal pelvic floor reconstructive surgery.
    

Eligibility criteria:

        Inclusion Criteria:

          -  The inclusion criteria are the following:

          -  Consenting, English speaking women between ages 18 and 80 who will undergo same day
             vaginal female pelvic reconstructive surgery at MetroHealth Medical Center

          -  Ability to read VAS Scores

          -  Specific vaginal procedures include, but are not limited to:

               -  Periurethral bulking

               -  Perineoplasty

               -  Complete vaginectomy

               -  Le Forte colpocleisis

               -  Anterior repair

               -  Posterior repair

               -  Enterocele repair

               -  Anterior and posterior repair

               -  Anterior, posterior and enterocele repair

               -  Transvaginal mesh use

               -  Sacrospinous ligament fixation

               -  Uterosacral ligament suspension

               -  Vaginal paravaginal defect repair

               -  Midurethral Sling

               -  Sphincteroplasty

               -  Vaginal hysterectomy, for uterus 250 g or less

               -  Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or
                  ovary(s)

               -  Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or
                  ovary(s), with repair of enterocele

               -  Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele

               -  Vaginal hysterectomy, for uterus greater than 250 g

               -  Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s)
                  and/or ovary(s)

               -  Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s)
                  and/or ovary(s), with repair of enterocele

               -  Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele

        Exclusion Criteria:

          -  The exclusion criteria are the following:

          -  History of chronic pelvic pain

          -  Abdominal surgery

          -  Laparoscopic 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 or laparoscopic 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