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Archives of Gynecology and Obstetrics

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01-06-2016 | General Gynecology

Effectiveness of local anesthetic on postoperative pain in different levels of laparoscopic gynecological surgery

Authors: Selcuk Selcuk, Murat Api, Mesut Polat, Arzu Arinkan, Bilge Aksoy, Tijen Akca, Ates Karateke

Published in: Archives of Gynecology and Obstetrics | Issue 6/2016

Abstract

Purpose

The aim of this study was to assess the effects of preemptive and preclosure analgesia on postoperative pain intensity in patients undergoing different levels of laparoscopic surgery.

Methods

Two hundred and twenty-six patients who underwent laparoscopic gynecological surgery were enrolled in this quasi-randomized, prospective, placebo controlled study. The operations were classified as level 1 or level 2 according to the extent of the surgery. Lidocaine 1 % was administered at the port sites before making the incision in the preincisional study group. In preincisional control group, same amount of saline was infiltrated in same manner. Lidocaine 1 % was infiltrated at the port site immediately after removing the trocars in preclosure study group. In preclosure control group, the same amount of saline was infiltrated in the same manner. Postoperative pain intensity was evaluated by linear visual analogue scale.

Results

It was found that preclosure lidocaine infiltration was more effective on postoperative pain intensity than its placebo group in level 1 and level 2 surgery groups at 1 and 2 h postoperatively. The administration of preincisional lidocaine improved postoperative pain scores significantly more than its placebo group in level 1 laparoscopic surgery group at 1 and 2 h postoperatively and in level 2 laparoscopic surgery group at 1 h postoperatively.

Conclusion

Lidocaine infiltration at port sites had beneficial effects on pain intensity in the early postoperative period after laparoscopic gynecological surgery. However, the results of present study showed that the analgesic effect mechanism of local anesthetic was unrelated to the preemptive analgesia hypothesis.

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Title: Effectiveness of local anesthetic on postoperative pain in different levels of laparoscopic gynecological surgery
Authors: Selcuk Selcuk
Murat Api
Mesut Polat
Arzu Arinkan
Bilge Aksoy
Tijen Akca
Ates Karateke
Publication date: 01-06-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 6/2016
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-015-3984-7

At a glance: The STEP trials

Springer Medicine

Effectiveness of local anesthetic on postoperative pain in different levels of laparoscopic gynecological surgery

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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