PMID: 15359398Sep 11, 2004Paper

Effects of ropivacaine infiltration on cortisol and prolactin responses to postoperative pain after inguinal hernioraphy in children

Journal of Pediatric Surgery
George SakellarisGiorgos Charissis

Abstract

Painful interventions may have a serious adverse psychological impact, particularly in young patients. Inguinal hernia repair is the most common surgical outpatient procedure performed on infants and children. The aim of this study was to compare the effects of pre- and postincisional infiltration of the surgical area with ropivacaine on cortisol (C) and prolactin (PRL) release and postoperative pain in children undergoing inguinal hernia repair. Forty-five school-age children, aged 6 to 10 years, undergoing outpatient inguinal hernia repair under general anesthesia were placed randomly into 3 groups. Preincisional wound infiltration of 3 mg/kg ropivacaine was performed in group I patients before surgery. Postincisional wound infiltration was performed in group II patients after hernia repair but before skin closure, and group III patients (controls) did not received any local anesthetic. In the postanesthesia care unit (PACU), objective pain assessments were performed every 5 minutes using a standardized 10-point objective pain scale. Plasma C concentrations increased at the end of the operation in all groups but significantly only in the control group (P <.001). There was no significant difference between the pre- and postinc...Continue Reading

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Citations

May 2, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Maria Rita Di PaceEnrico De Grazia
Mar 27, 2009·Annales Françaises D'anesthèsie Et De Rèanimation·M Beaussier, M Aissou
May 31, 2011·Anesthesiology Clinics·Sugantha GanapathyRobert Bourne
Jan 28, 2009·Applied Nursing Research : ANR·Ann Marie McCarthyEva Tsalikian
May 28, 2008·Paediatric Anaesthesia·Richard HowardUNKNOWN Association of Paediatric Anaesthetists of Great Britain and Ireland
Apr 14, 2010·Anaesthesia·N B Scott
Apr 25, 2014·Channels·Mayur J PatilArmen N Akopian
Mar 15, 2006·Current Opinion in Anaesthesiology·Pasquale De NegriAnna Claudia Del Piano

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