Is local anesthesia or oral analgesics necessary after mini-laparoscopic functional surgery in children and young adults?: A prospective randomized trial

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Yao Chou TsaiStephen Shei-Dei Yang

Abstract

This prospective, randomized, single-blind trial was to determine if local anesthesia or oral analgesics reduce postoperative pain after mini-laparoscopic functional surgery. One hundred fifteen patients who underwent mini-laparoscopic herniorrhaphy or varicocelectomy were assigned randomly to receive wound infiltration with xylocaine, regular oral analgesics, or a placebo after the procedures. Visual analog pain scores owing to carbon-dioxide irritation and trocar wounds were recorded 2 hours, 1 day, and 1 week after surgery. Levels of pain were measured by a visual analog pain scale. Patients' age, type of procedure, pressure of gas insufflated, length of procedure, dosage of oral/parenteral analgesics, and trocar-related complications were evaluated. There were no significant differences between groups in the mean pain scores over trocar wounds 2 hours, 1 day, and 1 week after mini-laparoscopic procedures, respectively. There were no significant differences between groups in satisfaction of pain control regimens. Patients who received local anesthesia required fewer on demand meperidine injections than others. Local anesthesia and routine oral analgesic did not significantly reduce postoperative pain after mini-laparoscopic ...Continue Reading

Associated Clinical Trials

References

Dec 5, 1998·Obstetrics and Gynecology·R W KeS R Lincoln
Jan 29, 2000·The Journal of the American Association of Gynecologic Laparoscopists·E ZupiC Romanini
Aug 18, 2001·The Journal of the American Association of Gynecologic Laparoscopists·M B TirasF Risquez
Nov 5, 2003·The British Journal of Surgery·L SarliL Roncoroni
Mar 7, 2006·Journal of Clinical Anesthesia·Frederic J GergesSamar I Jabbour-Khoury

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Citations

Feb 7, 2013·Journal of Endourology·Mirko BertozziAntonino Appignani
Jan 25, 2011·The Journal of Urology·Chia-Da LinStephen S Yang
May 29, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Shaoguang FengXiaoming Chen

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