Port site infiltration of local anesthetic after laparoendoscopic single site surgery for benign adnexal disease
Obstetrics & Gynecology Science
; : 455-461, 2017.
Article
en En
| WPRIM
| ID: wpr-192009
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE: To determine whether local bupivacaine injection into the incision site after gynecologic laparoendoscopic single site surgery (LESS) improves postoperative pain. METHODS: This prospective cohort study included consecutive 158 patients who had LESS for benign adnexal disease from March 2013 to December 2015. Chronologically, 82 patients (March 2013 to August 2014) received no bupivacaine (group 1) and 76 (August 2014 to December 2015) received a bupivacaine block (group 2). For group 2, 10 mL 0.25% bupivacaine was injected into the 20 mm-incision site through all preperitoneal layers after LESS completion. Primary outcome is postoperative pain score using the visual analog scale (VAS). RESULTS: There was no difference in clinicopathological characteristics between the groups. Operating time (expressed as median [range], 92 [55–222] vs. 100 [50–185] minutes, P=0.137) and estimated blood loss (50 [30–1,500] vs. 125 [30–1,000] mL, P=0.482) were similar between the groups. Post-surgical VAS pain scores after 3 hours (3.5 [2–6] vs. 3.5 [2–5], P=0.478), 6 to 8 hours (3.5 [2–6] vs. 3 [1–8], P=0.478), and 16 to 24 hours (3 [2–4] vs. 3 [1–7], P=0.664) did not differ between groups. CONCLUSION: Bupivacaine injection into the trocar site did not improve postoperative pain after LESS. Randomized trials are needed to evaluate the benefits of local bupivacaine anesthetic for postoperative pain reduction.
Palabras clave
Texto completo:
1
Bases de datos:
WPRIM
Asunto principal:
Dolor Postoperatorio
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Instrumentos Quirúrgicos
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Bupivacaína
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Estudios Prospectivos
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Estudios de Cohortes
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Enfermedades de los Anexos
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Laparoscopía
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Procedimientos Quirúrgicos Mínimamente Invasivos
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Escala Visual Analógica
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Anestesia Local
Tipo de estudio:
Clinical_trials
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Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Risk_factors_studies
Idioma:
En
Revista:
Obstetrics & Gynecology Science
Año:
2017
Tipo del documento:
Article