Intraperitoneal Ropivacaine and a Gas Drain: Effects on Postoperative Pain in Laparoscopic Surgery

Readman, Emma; Maher, Peter; Ugoni, Antony; Gordon, Stephen

doi:10.1016/s1074-3804(05)60080-1

Cited by 15 publications

(9 citation statements)

References 11 publications

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“…Pain after laparoscopic cholecystectomy is affected by several factors including patient demographics, nature of underlying disease, surgical factors, volume of residual gas, and type of gas used for pneumoperitoneum, and the pressure created by the pneumoperitoneum ( 13 - 18 ). A number of techniques were described to reduce post-laparoscopy pain including preincisional infiltration and intraperitoneal instillation of levobupivacaine 0.25% ( 19 ), intraperitoneal ropivacaine and a gas drain ( 20 ), intraperitoneal levobupivacaine with epinephrine ( 21 ), intraperitoneal application of bupivacaine plus morphine ( 22 ), preincisional injection of bupivacaine ( 23 ), preemptive intraperitoneal injection of ropivacaine ( 24 ) and intraperitoneal lidocaine combined with intravenous or intraperitoneal tenoxicam ( 25 ). It is suggested that post-laparoscopic cholecystectomy pain is multifactorial and methods for short-term analgesia cannot improve postoperative functions or shorten hospitalization ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

Comparing the Impact of Intraperitoneal Hydrocortisone With Bupivacaine on Postoperative Pain After Laparoscopic Cholecystectomy

Amini

Sarvestani

2014

Anesth Pain Med

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Background:Postoperative pain is a major complaint following laparoscopic cholecystectomy.Objectives:The aim of this study was to compare the impact of intraperitoneal hydrocortisone with intraperitoneal bupivacaine on pain relief after laparoscopic cholecystectomyPatients and Methods:In a double blind clinical trial, 63 candidates for laparoscopic cholecystectomy were randomly allocated to receive intraperitoneal instillation of either 100 mg bupivacaine in 250 mL normal saline (n = 32) or 100 mg hydrocortisone in 250 mL normal saline (n = 31) before insufflation of CO2 into the peritoneum for postoperative pain relief. Patients were investigated regarding abdominal and shoulder pain using (visual analog scale) VAS in recovery room and at 6, 12 and 24 hours postoperatively. Patients were also followed regarding postoperative analgesic requirements, nausea and vomiting, and return of bowel function.Results:Sixty patients completed the study. Patients in the hydrocortisone group had no statistically significant abdominal and shoulder pain scores compared to the bupivacaine group. The patients were similar regarding postoperative analgesic requirements, return of bowel function, nausea and vomiting. No adverse effect was detected in either group.Conclusions:Intraperitoneal administration of hydrocortisone is as effective as bupivacaine to reduce pain and analgesic requirements after laparoscopic cholecystectomy.

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Section: Discussionmentioning

confidence: 99%

Comparing the Impact of Intraperitoneal Hydrocortisone With Bupivacaine on Postoperative Pain After Laparoscopic Cholecystectomy

Amini

Sarvestani

2014

Anesth Pain Med

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“…In another study that included patients scheduled for laparoscopic cholecystectomy, the authors reported that patients in the NO 2 -induced pneumoperitoneum group experienced less postoperative pain compared with those in the CO 2 -induced pneumoperitoneum group, indicating the responsive role of insufflated CO 2 gas in the development of postoperative pain [14]. In addition, a number of trials conducted in patients undergoing LS found reduced shoulder pain with more effective gas efflux, indicating that shoulder pain observed after LS was mainly derived from CO 2 retention within the abdomen [15, 16].…”

Section: Discussionmentioning

confidence: 99%

Semi-Fowler positioning in addition to the pulmonary recruitment manoeuvre reduces shoulder pain following gynaecologic laparoscopic surgery.

Katılmış

Yılmaz

2019

Videosurgery and Other Miniinvasive Techniques

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IntroductionThe semi-Fowler position, defined as a body position at 30° head-of-bed elevation, has been shown to increase intra-abdominal pressure.AimTo investigate the impact of semi-Fowler positioning in addition to the pulmonary recruitment manoeuvre (PRM) on post-laparoscopic shoulder pain.Material and methodsOne hundred and six patients (mean age: 43 ±12 years) undergoing gynaecologic laparoscopic surgery (LS) were included. The patients were divided into three groups: group 1 consisted of patients receiving PRM in the neutral position, group 2 comprised patients receiving PRM in the semi-Fowler position, and patients in the control group received neither PRM nor additional positioning. Information concerning wound and shoulder pain (post-laparoscopic shoulder pain – PLSP) at postoperative 6, 12 and 24 h was recorded using a visual analogue scale (VAS) for each patient.ResultsThe PLSP scores at postoperative 6 h (5.71 ±0.86, 5.28 ±0.84 and 6.61 ±0.91, respectively, p < 0.001), 12 h (4.41 ±0.83, 4.01 ±0.82 and 5.32 ±0.97, respectively, p < 0.001), and 24 h (3.24 ±0.78, 2.44 ±0.73 and 4.34 ±0.85, respectively, p < 0.001) were significantly different among the groups, the lowest being in those who received PRM in addition to semi-Fowler positioning.ConclusionsSemi-Fowler positioning in addition to PRM significantly reduces post-laparoscopic shoulder pain. We assume that the benefit gained using the semi-Fowler positioning is mainly derived from its potential to better evacuate the remaining abdominal gas following LS.

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“…164 laparoskopi-asiste vajinal histerektomi sonrası dren ile omuz ve karın ağrısı sıklık ve yoğunluğunun azaldığını, Tharanon ve ark. ise benign jinekolojik laparoskopik cerrahi sonrası peritoneal gaz drenin postoperatif ağrıyı azalttığını tespit etmişlerdir (5)(6)(7)(8)(9). Kerimoğlu ve ark.…”

Section: Discussionunclassified

Effects of drain after total laparoscopic hysterectomy

Çıkman

Sakin

Anğın

et al. 2019

Zeynep Kamil Tıp Bülteni

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Intraperitoneal Ropivacaine and a Gas Drain: Effects on Postoperative Pain in Laparoscopic Surgery

Cited by 15 publications

References 11 publications

Comparing the Impact of Intraperitoneal Hydrocortisone With Bupivacaine on Postoperative Pain After Laparoscopic Cholecystectomy

Comparing the Impact of Intraperitoneal Hydrocortisone With Bupivacaine on Postoperative Pain After Laparoscopic Cholecystectomy

Semi-Fowler positioning in addition to the pulmonary recruitment manoeuvre reduces shoulder pain following gynaecologic laparoscopic surgery.

Effects of drain after total laparoscopic hysterectomy

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