Findings

What do systematic reviews say?

14 questions · 15 findings · 3 reviews · Gynaecology and Fertility · Headline outcomes only

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No studies found 3 · 20%GRADE not reported 1 · 6.7%Very low 2 · 13.3%Low 8 · 53.3%Moderate 1 · 6.7%High 0 · 0%

Local anaesthetic vs placebo or no treatment

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · women undergoing outpatient hysteroscopy

1 finding from 1 review

Pain relief for outpatient hysteroscopy 2017 · Cochrane Headline outcomes only
no estimate extracted
10 studies · 1496 participants
Low

Local anaesthetic vs placebo or no treatment

Pain score within 30 min of procedure · women undergoing outpatient hysteroscopy

1 finding from 1 review

Pain relief for outpatient hysteroscopy 2017 · Cochrane Headline outcomes only
no estimate extracted
5 studies · 545 participants
Low

Local anaesthetic vs placebo or no treatment

Pain score more than 30 min after procedure · women undergoing outpatient hysteroscopy

1 finding from 1 review

Pain relief for outpatient hysteroscopy 2017 · Cochrane Headline outcomes only
no estimate extracted
4 studies · 450 participants
Low

Local anaesthetic vs placebo or no treatment

Vasovagal reaction · women undergoing outpatient hysteroscopy

It is very uncertain whether local anaesthetic changes vasovagal reaction compared with placebo or no treatment (very low certainty).

1 finding from 1 review

Pain relief for outpatient hysteroscopy 2017 · Cochrane Headline outcomes only
OR 0.7 [0.43, 1.13]
8 studies · 1309 participants
Very low

Local anaesthetic vs placebo or no treatment

Non pelvic pain · women undergoing outpatient hysteroscopy

It is very uncertain whether local anaesthetic changes non‐pelvic pain compared with placebo or no treatment (very low certainty).

1 finding from 1 review

Pain relief for outpatient hysteroscopy 2017 · Cochrane Headline outcomes only
OR 1.76 [0.53, 5.8]
1 study · 99 participants
Very low

Subdiaphragmatic intraperitoneal local anaesthetic vs control

Incidence of STP at 24 hours post‐operatively · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

Subdiaphragmatic intraperitoneal local anaesthetic showed no clear difference in incidence of STP at 24 hours post‐operatively compared with control (moderate certainty).

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
OR 0.72 [0.42, 1.23]
4 studies · 336 participants
Moderate

Subdiaphragmatic intraperitoneal local anaesthetic vs control

Severity of STP at 24 hours post‐operatively · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
no estimate extracted
1 study · 50 participants
Low

Subdiaphragmatic intraperitoneal local anaesthetic vs control

Adverse events · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 165 participants
GRADE not reported

Subdiaphragmatic intraperitoneal local anaesthetic vs control

Analgesia usage · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 129 participants
Low

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) vs control

Incidence of STP within 4‐8 hours post‐operatively · women undergoing gynaecological laparoscopic procedures

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) may leads to lower incidence of STP within 4‐8 hours post‐operatively compared with control (low certainty).

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
OR 0.23 [0.06, 0.93]
2 studies · 157 participants
Low

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) vs control

Severity of STP at 24 hours post‐operatively · women undergoing gynaecological laparoscopic procedures

The review found no eligible studies for this question.

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) vs control

Adverse events · women undergoing gynaecological laparoscopic procedures

The review found no eligible studies for this question.

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) vs control

Analgesia usage · women undergoing gynaecological laparoscopic procedures

The review found no eligible studies for this question.

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Locally injected anaesthetics vs placebo or no treatment

Pain intensity (0‐10cm visual analogue scale) · Women being investigated for infertility

2 findings from 1 review

Pain relief in hysterosalpingography 2015 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 125 participants
Low
Pain relief in hysterosalpingography 2015 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 125 participants
Low