PMID: 11906418Mar 22, 2002Paper

Effectiveness of intra-operative wound infiltration with long-acting local anaesthetic

ANZ Journal of Surgery
Yew-Ming KuanMichael Grigg

Abstract

Postoperative pain relief is of importance to both patients and surgeons. One of the simpler techniques is infiltration of the surgical incision with long acting local anaesthetic. The literature is confusing, with numerous reports attesting to the value of this approach and a similar number disputing the demonstrable benefits. A prospective, 'blinded', randomized trial was undertaken involving 18 females undergoing uncomplicated bilateral sapheno-femoral ligation. They received intraoperative bupivacaine infiltration into one or the other of their groin incisions. Postoperatively these patients were asked to assess a number of variables relating to their postoperative pain, each patient thereby acting as their own control. There was no significant difference in the postoperative pain experience between groins infiltrated with bupivacaine and those not infiltrated. Two patients developed wound infections and both of these occurred on the sides which had been infiltrated with bupivacaine, however this was not statistically significant. There was no difference found in pain experience with respect to pre- versus post-incision infiltration. Intraoperative wound infiltration with bupivacaine is widely employed as a method of minimi...Continue Reading

References

Apr 1, 1992·British Journal of Anaesthesia·G W DierkingH Kehlet
Jan 1, 1985·The British Journal of Surgery·A E Cameron, F W Cross
May 1, 1995·Journal of Clinical Anesthesia·R A VictoryP F White

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Citations

Dec 25, 2012·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·R F FouladiA Abbassi
Jun 19, 2007·Journal of Clinical Anesthesia·Bruce Ben-DavidJacques E Chelly
Sep 1, 2004·Aesthetic Surgery Journal·Wendy L Parker, Roland Charbonneau

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