Abstract
Background: This prospective, randomized, single-blind trial was to determine if local anesthesia or oral analgesics reduce postoperative pain after mini-laparoscopic functional surgery. Methods: 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. Results: 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. Conclusions: Local anesthesia and routine oral analgesic did not significantly reduce postoperative pain after mini-laparoscopic surgeries in children and young adults.
| Original language | English |
|---|---|
| Pages (from-to) | 344-347 |
| Number of pages | 4 |
| Journal | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
| Volume | 18 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Aug 2008 |
| Externally published | Yes |
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Keywords
- Laparoscopy
- Local anesthesia
ASJC Scopus subject areas
- Surgery
- Medicine(all)
Cite this
Is local anesthesia or oral analgesics necessary after mini-laparoscopic functional surgery in children and young adults? A prospective randomized trial. / Tsai, Yao Chou; Wu, Chia Chang; Yang, Stephen Shei Dei.
In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 18, No. 4, 08.2008, p. 344-347.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Is local anesthesia or oral analgesics necessary after mini-laparoscopic functional surgery in children and young adults?
T2 - A prospective randomized trial
AU - Tsai, Yao Chou
AU - Wu, Chia Chang
AU - Yang, Stephen Shei Dei
PY - 2008/8
Y1 - 2008/8
N2 - Background: This prospective, randomized, single-blind trial was to determine if local anesthesia or oral analgesics reduce postoperative pain after mini-laparoscopic functional surgery. Methods: 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. Results: 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. Conclusions: Local anesthesia and routine oral analgesic did not significantly reduce postoperative pain after mini-laparoscopic surgeries in children and young adults.
AB - Background: This prospective, randomized, single-blind trial was to determine if local anesthesia or oral analgesics reduce postoperative pain after mini-laparoscopic functional surgery. Methods: 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. Results: 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. Conclusions: Local anesthesia and routine oral analgesic did not significantly reduce postoperative pain after mini-laparoscopic surgeries in children and young adults.
KW - Laparoscopy
KW - Local anesthesia
UR - http://www.scopus.com/inward/record.url?scp=58149378275&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=58149378275&partnerID=8YFLogxK
U2 - 10.1097/SLE.0b013e318172ab33
DO - 10.1097/SLE.0b013e318172ab33
M3 - Article
C2 - 18716531
AN - SCOPUS:58149378275
VL - 18
SP - 344
EP - 347
JO - Surgical Laparoscopy and Endoscopy
JF - Surgical Laparoscopy and Endoscopy
SN - 1530-4515
IS - 4
ER -