IRCT2017082923684N3 IRCT 2017-10-24 Vice chancellor for research, Iran University of Medical Sciences The effect of hypogastric block for pain relief in endometriotic patients The effect of hypogastric block for pain relief in endometriotic patients after completion of both surgical and medical treatment 2017-06-22 anticipated 32 Complete https://irct.ir/trial/20199 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment. 2-3 Endometriosis. Intervention 1: Patients are referred to the pain department of Rasoul-e-Akram Hospital for intervention , For the block of the upper hypogastric network, after taking the history and physical examination and Assessing the graphs, the patient's lab tests and the reason for the operation, the expected consequences and the patient's complications are fully explained to the patient. and the patient completes the informed consent form. The patient is lying prone and then setting up the venous route and giving the appropriate sediment with fentanyl and midazolam then taking oxygen nasal cannula and fixing vital signs. Using the fluorescope and the lateral approach of the intercostal space, we identify the fourth and fifth lumbar vertebrae and mark the midline of 7 cm on each side. , and after the local anesthetic, the needle insertion points with lidocaine 1%, the 15 cm needle with the gauge 22 under Fluorescope conduction insert from both sides and in order to ensure its proper location, after aspiration, 3 ml of the solution of the contrast agent was injected from both needle by visual inspection of the contrast material in the latral view on the anterior margin of the trunk and in the posterior, anterior aspect, in the Paramedine area, We will ensure of correct place of the needle. Then the needles will be aspirate and 10 ml of bupivacaine 25% is injected with 40 mg of triamcinolone per needle, and 2-3 hours after injection, the patient will discharge, the patient is not required to be admitted to the department. Intervention 2: In the control group, the patient receives the common drug therapy for pain control.