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Title: Pain relief following day case laparoscopic tubal ligation with intra-peritoneal ropivacaine: a randomised double blind control study.
Authors: Dreher, J K
Nemeth, D
Limb, R
Affiliation: Royal Darwin Hospital, Australia..
Issue Date: Nov-2000
Citation: The Australian & New Zealand journal of obstetrics & gynaecology 2000-11; 40(4): 434-7
Abstract: The aim of this study was to examine the effectiveness of ropivacaine administered by a simple intraperitoneal technique in relieving pain following laparoscopic application of Filshie clips. Nineteen patients were randomised to receive either ropivacaine (200 mg) or normal saline through the umbilical port following clip application. Using a visual analogue scale women receiving ropivacaine had significantly lower pain scores 2 hours post operatively (0.97 vs 2.03 p < 0.05). The mean total postoperative fentanyl use was also significantly lower on the ropivacaine group (40 microg vs 104 microg p < 0.02). Only 10% (1/10) of the women in the ropivacaine group complained of nausea compared with 44% (4/9) in the control group. Furthermore, 80% (8/10) of women in the ropivacaine group were either very or totally satisfied with their pain relief. Only 56% (5/9) of the women in the control group were very or totally satisfied with their pain relief. Ropivacaine administered by a simple intraperitoneal technique following laparoscopic sterilisation significantly reduces postoperative pain and parenteral analgesic requirements. It would be reasonable to consider this method as standard practice following laparoscopic tubal ligation.
ISSN: 0004-8666
Type: Clinical Trial
Journal Article
Randomized Controlled Trial
Subjects: Adult
Ambulatory Surgical Procedures
Analgesics, Opioid
Anesthetics, Local
Double-Blind Method
Injections, Intraperitoneal
Instillation, Drug
Pain Measurement
Pain, Postoperative
Patient Satisfaction
Sterilization, Tubal
Treatment Outcome
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