{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:16:55Z","timestamp":1788311815724,"version":"build-2803163510"},"reference-count":19,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008920","name":"University of Saskatchewan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008920","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jmig.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Minimally Invasive Gynecology"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jmig.2026.01.023","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T16:28:48Z","timestamp":1768235328000},"page":"1364-1370","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Randomized Double Blind Placebo Controlled Study to Assess the Efficacy of Fundal Block Analgesia During Radiofrequency Endometrial Ablation"],"prefix":"10.1016","volume":"33","author":[{"given":"Dinusha T.","family":"Hamilton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huse","family":"Kamencic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0112-1379","authenticated-orcid":false,"given":"John","family":"Thiel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3143-0870","authenticated-orcid":false,"given":"Kirat","family":"Shukla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darrien","family":"Rattray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jmig.2026.01.023_bib0001","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1111\/1471-0528.14395","article-title":"Local anesthesia during endometrial ablation: a systematic review","volume":"124","author":"Reinders","year":"2017","journal-title":"BJOG"},{"key":"10.1016\/j.jmig.2026.01.023_bib0002","doi-asserted-by":"crossref","first-page":"152","DOI":"10.3109\/01443615.2010.538772","article-title":"NovaSure endometrial ablation under anesthesia in an outpatient setting: an observational study","volume":"31","author":"Kalkat","year":"2011","journal-title":"J Obstet Gynaecol"},{"key":"10.1016\/j.jmig.2026.01.023_bib0003","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.ajog.2017.11.571","article-title":"Utility of anesthetic block for endometrial ablation: a randomized controlled trial","volume":"218","author":"Klebanoff","year":"2018","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.jmig.2026.01.023_bib0004","first-page":"52","article-title":"Intrauterine fundal anesthesia during endometrial ablation in the office: a randomized double-blind, non-inferiority trial","volume":"196","author":"Reinders","year":"2016","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.jmig.2026.01.023_bib0005","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/j.fertnstert.2015.10.019","article-title":"Hysteroscopic local anesthetic intrauterine cornual block in office endometrial ablation: a randomized controlled trial","volume":"105","author":"Kumar","year":"2016","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2026.01.023_bib0006","doi-asserted-by":"crossref","first-page":"25","DOI":"10.52054\/FVVO.15.M.099","article-title":"Endometrial ablation in the outpatient setting","volume":"15","author":"Martinez","year":"2023","journal-title":"Facts Views Vis OBGYN"},{"key":"10.1016\/j.jmig.2026.01.023_bib0007","series-title":"A Guide to Paracervical and Intrauterine Fundal Block","year":"2021"},{"key":"10.1016\/j.jmig.2026.01.023_bib0008","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/S0020-7292(03)00154-1","article-title":"Intrauterine lidocaine gel application for pain relief during and after hysterosalpingography","volume":"83","author":"Kafali","year":"2003","journal-title":"Internat J Gynecol Obs"},{"key":"10.1016\/j.jmig.2026.01.023_bib0009","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.ejogrb.2010.11.018","article-title":"Pain relief in office gynaecology: a systematic review and meta-analysis","volume":"155","author":"Ahmad","year":"2011","journal-title":"Europ J Obs Gynecol Reprod"},{"key":"10.1016\/j.jmig.2026.01.023_bib0010","first-page":"3","article-title":"Uterine physiology","volume":"6","author":"Campbell","year":"2005","journal-title":"Anes Intens Care Med"},{"key":"10.1016\/j.jmig.2026.01.023_bib0011","doi-asserted-by":"crossref","first-page":"2399","DOI":"10.1016\/j.pain.2011.07.005","article-title":"Validity of four pain intensity rating scales","volume":"152","author":"Ferreira-Valente","year":"2011","journal-title":"Pain"},{"key":"10.1016\/j.jmig.2026.01.023_bib0012","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/S0304-3959(01)00349-9","article-title":"Clinical importance of changes in chronic pain intensity measured on an 11 point numerical rating scale","volume":"94","author":"Farrar","year":"2001","journal-title":"Pain"},{"key":"10.1016\/j.jmig.2026.01.023_bib0013","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/s11916-009-0009-x","article-title":"Pain outcomes: a brief review of instruments and techniques","volume":"13","author":"Younger","year":"2009","journal-title":"Curr Pain Headache Rep"},{"key":"10.1016\/j.jmig.2026.01.023_bib0014","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/S0885-3924(02)00677-2","article-title":"Is patient satisfaction a legitimate outcome of pain management?","volume":"25","author":"Carlson","year":"2003","journal-title":"Pain Symp Manage"},{"key":"10.1016\/j.jmig.2026.01.023_bib0015","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.jmig.2010.10.006","article-title":"Oral analgesia vs intravenous conscious sedation during Essure micro-insert sterilization procedure: randomized, double-blind, controlled trial","volume":"18","author":"Thiel","year":"2011","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jmig.2026.01.023_bib0016","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.ejogrb.2020.09.011","article-title":"Intrauterine fundal anaesthesia during endometrial ablation in the office: a randomised double-blind, non-inferiority trial","volume":"254","author":"Reinders","year":"2020","journal-title":"Europ J Obs Gynecol Reprod Biol"},{"key":"10.1016\/j.jmig.2026.01.023_bib0017","doi-asserted-by":"crossref","first-page":"S45","DOI":"10.1016\/j.jmig.2015.08.124","article-title":"Combining paracervical block with a complete fundal block significantly reduces patients\u2019 perception of pain during radio-frequency endometrial ablation in an office setting","volume":"22","author":"Skensved","year":"2015","journal-title":"Jour Minimal Inv Gynecol"},{"key":"10.1016\/j.jmig.2026.01.023_bib0018","series-title":"Surgery and Opioids: Best Practice Guidelines 2021","year":"2021"},{"key":"10.1016\/j.jmig.2026.01.023_bib0019","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1097\/AOG.0b013e3182a7e1f5","article-title":"Increased pressure pain sensitivity in women with chronic pain","volume":"122","author":"Sawsan","year":"2013","journal-title":"Obstet Gynecol"}],"container-title":["Journal of Minimally Invasive Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465026000488?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465026000488?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:05:59Z","timestamp":1788311159000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1553465026000488"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S1553465026000488"],"URL":"https:\/\/doi.org\/10.1016\/j.jmig.2026.01.023","relation":{},"ISSN":["1553-4650"],"issn-type":[{"value":"1553-4650","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A Randomized Double Blind Placebo Controlled Study to Assess the Efficacy of Fundal Block Analgesia During Radiofrequency Endometrial Ablation","name":"articletitle","label":"Article Title"},{"value":"Journal of Minimally Invasive Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmig.2026.01.023","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Crown Copyright \u00a9 2026 Published by Elsevier Inc. on behalf of AAGL.","name":"copyright","label":"Copyright"}]}}