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

Yao Chou Tsai, Chia Chang Wu, Stephen Shei Dei Yang

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10 Citations (Scopus)

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 languageEnglish
Pages (from-to)344-347
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume18
Issue number4
DOIs
Publication statusPublished - Aug 2008
Externally publishedYes

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Keywords

  • Laparoscopy
  • Local anesthesia

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

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