Topical bupivacaine and etidocaine analgesia following fallopian tube banding

Videoscopic surgery under local and regional anesthesia with helium abdominal insufflation

“…With these considerations in mind, we elected to perform procedures such as cholecystectomy and appendectomy, which are associated with considerable organ traction and unavoidable touching of the abdominal wall, under spinal anesthesia. We have not attempted to anesthetize large areas of the parietal and visceral peritoneum as has been reported with laparoscopic sterilization procedures [14,16,25], but these techniques warrant further evaluation.…”

Intraperitoneal lidocaine for postoperative pain after laparoscopy

“…Pain after laparoscopic cholecystectomy may be ascribed to the surgical incision, carbon dioxide insufflation and visceral pain. Techniques which are of value in reducing postoperative pain following laparoscopy include rectus sheath block ( 5, 6), the use of an abdominal drain for a few hours postoperatively to allow the escape of carbon dioxide ( 7), and topical application of local anaesthetic to the viscera ( 8) or to laparoscopic clips ( 9). We have shown that splashing a single diluted dose of lidocaine with saline under the surface of the right diaphragmatic area following the laparoscopic procedure significantly reduced the intensity of postoperative shoulder and abdominal pain immediately on return to the ward and the following 24 h postoperatively.…”

Analgesia after laparoscopic sterilization Effect of 2% lignocaine gel applied to Filshie clips

“…Topical application of local anaesthetics directly to the Fallopian tubes has been reported to reduce this pain [2-4]. Mesosalpingeal blocks [5] and painting of the Fallopian tubes with local anaesthetics [2,3] rely upon surgical cooperation, are time-consuming, and may cause complications. With this in mind, we conducted a randomised prospective study in patients undergoing day case surgery for laparoscopic clip sterilisation to examine whether the simple measure of applying 2% lignocaine gel to the Filshie clips prior to use would reduce postoperative pain.…”