Postoperative pain: a comparison of laparoscopic sterilisation and diagnostic laparoscopy

Davis, Amenda Ann; Millar, J.M.

doi:10.1111/j.1365-2044.1988.tb05764.x

Cited by 51 publications

(35 citation statements)

References 2 publications

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“…Ador no pós-operatório de laparoscopia ginecológica é significativamente maior após a laqueadura quando comparada à de procedimentos diagnósticos 15,16 e mais intensa nas primeiras 4 a 6 horas de PO 9 . É descrito que a dor, após esterilização laparoscópica, possui intensidade variável e está relacionada à técnica empregada.…”

Section: Discussionunclassified

Eficácia da N-butilescopolamina e dipirona sódica associadas ao cetoprofeno no alívio da dor pós-operatória de pacientes submetidas a duas técnicas diferentes de laqueadura por laparoscopia

Ganem¹,

Salem²,

Fukushima³

et al. 2005

Rev. Bras. Anestesiol.

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Section: Discussionunclassified

Eficácia da N-butilescopolamina e dipirona sódica associadas ao cetoprofeno no alívio da dor pós-operatória de pacientes submetidas a duas técnicas diferentes de laqueadura por laparoscopia

Ganem¹,

Salem²,

Fukushima³

et al. 2005

Rev. Bras. Anestesiol.

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“…This would be consistent with previous studies that have shovm removal of insufflation gas at the end of procedure to greatly reduce this type of pain. Deep pelvic pain is the second type of pain, and rarely lasts for more than six hours postoperatively (Alexander, 1997;Chi & Cole, 1979;Davis & Miller, 1988;Dobbs et al, 1987;Goldstein et al, 2000;Pelland, 1987). None of the patients in this study reported deep pelvic or spasmodic/cramping pain.…”

Section: Discussionmentioning

confidence: 99%

“…This pain is often localized in the upper abdomen, lower abdomen, and back; however, there is also a phenomenon known as referred shoulder pain (Davis & Miller, 1988). Visceral pain is a direct resuh of manipulation of structures and tissues within the abdomen.…”

Section: Laparoscopic Tubal Ligation Painmentioning

confidence: 99%

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The Effect of Pre-Emptive Administration of Dextromethorphan on Postoperative Pain in Patients Undergoing Interval Laparoscopic Tubal Sterilization

Pitcher¹

2001

PsycEXTRA Dataset

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Public reportino burden for tNs collection of information is estimated to average 1 hour per response, including the time for reviewing inslnictions, searching existing data sources, gathering and maintaining the date needed, and completing and reviewing the collection of information. Send comments regarding tNs burden estimate or any other aspect of tNs collection of information, including suggestions for reducing tNs burden, TITLE AND SUBTITLEThe effect of pre-emptive administration of dextromethorphan on postoperative pain in patients undergoing interval laparoscopic tubal sterilization AUTHOR(S)CPT Brian M. Pitcher PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)University Each year an estimated one million women elect to have surgical sterilization. This is performed by a laparoscopic procedure which can be severe enough to warrant an unplanned admission. With an increased understanding of the physiological basis of pain, classes of drugs not normally associated with pam reduction are now being investigated based on their ability to mteract with receptors in the pain pathway. Experimental studies have shown that the N-methyl-D-aspartate (NMDA) receptor plays a significant role in neuronal "wind-up", a state of hyperalgesia that can last from hours to days following injury or trauma.. Interfering with the NMDA receptor prior to surgical stimuli, wmd-up is prevented resuUing in decreased pain and analgesic requirements followmg surgery. Dextromethorphan, a readily available nonopioid antimssive in clinical use for more than 40 years, is one such NMDA receptor Anticosti. This prospective, randomized, double blind pilot study compared the effects over time when patients received dextromethorphan versus placebo-emptively. The sample was comprised of 14 subjects undergomg laparoscopic tubal ligation under general endotracheal anesthesia at regional military medical center for the Pacific Basin. Patients were ASA physical category I or II and at least 18 years of age and assigned to one of two groups. Group I received 60 mg of dextromethorphan orally, and Group II received an oral placebo. Postoperative pain was assessed using an 11 point Numeric Rating Scale (NRS) at eight time intervals. Additionally, a follow-up questionnaire and 48-hour postoperative telephone call were used to collect data on the patients' satisfaction of being in the study. The Student's t-test was used to determine homogeneity between the two groups. Following analysis, a statistically significant difference was found in two areas. Patients who received dextromethorphan 60 mg orally before surgery had a significant decrease m postoperative pain (p<0.04). The amount of Roxicet required postoperative was statistically less in the dextromethorphan group (p<0.02). The preoperative use of dextromethorphan may significantly decreased the amount of postoperative pain experienced with a resultant decrease in need for narcotic analgesics. This prospective, randomized, double blind pilot study compared the effects over time when patients received de...

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“…5 Davis and Millar found that the laparoscopic sterilization patients have significantly more pain in the fu'st 4 hr after surgery than diagnostic laparoscopy patients (P < 0.02). 6 Etidocaine and bupivacaine were selected in the present study because extended duration of action is needed to provide postoperative comfort. However, both drugs have been implicated in cases of cardiac arrest following epidural and probably inadvertent intravascular administration.…”

Section: Discussionmentioning

confidence: 99%

Topical bupivacaine and etidocaine analgesia following fallopian tube banding

McKenzie

Phitayakorn

et al. 1989

Can J Anaesth

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Postoperative pain: a comparison of laparoscopic sterilisation and diagnostic laparoscopy

Cited by 51 publications

References 2 publications

Eficácia da N-butilescopolamina e dipirona sódica associadas ao cetoprofeno no alívio da dor pós-operatória de pacientes submetidas a duas técnicas diferentes de laqueadura por laparoscopia

Eficácia da N-butilescopolamina e dipirona sódica associadas ao cetoprofeno no alívio da dor pós-operatória de pacientes submetidas a duas técnicas diferentes de laqueadura por laparoscopia

The Effect of Pre-Emptive Administration of Dextromethorphan on Postoperative Pain in Patients Undergoing Interval Laparoscopic Tubal Sterilization

Topical bupivacaine and etidocaine analgesia following fallopian tube banding

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