Local anesthesia for cryosurgery on the cervix.
Forty-five patients were evaluated in a prospective, randomized study to determine the effectiveness of a local injection of lidocaine in reducing pain during cervical cryosurgery. Study patients received a submucosal cervical injection of 1% lidocaine with a 1:100,000 dilution of epinephrine. Control patients did not receive an injection. Both groups received a single dose of naproxen sodium or ketoprofen prior to the procedure. The patient and the observing nurse recorded the pain experienced with a visual analog scale (VAS). Nurse and patient response for the control and study groups showed a high correlation (r = .573 and P < .01, r = .673 and P < .001, respectively). The mean VAS score recorded for the 26 control patients was 4.27, significantly greater than the mean score for the 19 study patients, 1.16 (P < .001). These findings indicate that a submucosal local injection of lidocaine with epinephrine is effective in reducing pain during cervical cryosurgery.
Sammarco
M J
MJ
Department of Obstetrics and Gynecology, Truman Medical Center/West, Kansas City, Missouri 64108.
Hartenbach
E M
EM
Hunter
V J
VJ
D000772:Anesthesia, Local; D002584:Cervix Uteri / Q000601:surgery*; D003127:Colposcopy; D003452:Cryosurgery; D005260:Female; D006801:Humans; D007279:Injections, Subcutaneous; D007660:Ketoprofen / Q000627:therapeutic use; D008012:Lidocaine / Q000008:administration & dosage; D009288:Naproxen / Q000627:therapeutic use; D011229:Preanesthetic Medication; D011446:Prospective Studies; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis / Q000601:surgery*
D009288:Naproxen; D007660:Ketoprofen; D008012:Lidocaine