Evaluation of post-operative analgesia following laparoscopic application of Filshie clips.
OBJECTIVE
To evaluate the efficacy of injecting 1% lignocaine into the subserosal aspect of the cornual end of the fallopian tubes to control post-operative pain after laparoscopic Filshie clip application.


METHODS
A double blind, randomised controlled trial.


METHODS
The day surgery unit of the Dunedin Public Hospital, Otago, New Zealand.


METHODS
Fifty-nine women attending the public hospital requesting sterilisation.


METHODS
The experimental group received an infiltration of 1% lignocaine into the subserosal aspect of the cornual end of the fallopian tubes. The control group received an infiltration of normal saline in the same site.


METHODS
The use of post-operative pethidine and the scores obtained on a modification of the McGill present pain intensity score, a visual analogue scale of present pain, a pain relief score and comparisons of time to first analgesia use.


RESULTS
The use of pethidine in the experimental group was significantly reduced [P = 0.001] Pain relief scores indicated significant benefit from the intervention. The time to first analgesic use was significantly greater in the experimental group.


CONCLUSIONS
Lignocaine infiltration at the cornual end of the fallopian tubes during laparoscopic Filshie clip application is highly effective in producing post-operative pain relief.
Fiddes
T M
TM
Department of Obstetrics and Gynaecology, University of Otago, Dunedin, New Zealand.
Williams
H W
HW
Herbison
G P
GP
D000328:Adult; D000556:Ambulatory Surgical Procedures; D000779:Anesthetics, Local / Q000008:administration & dosage*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007279:Injections, Subcutaneous; D010535:Laparoscopy; D007902:Length of Stay; D008012:Lidocaine / Q000008:administration & dosage*; D008614:Meperidine; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D013246:Sterilization, Tubal / Q000295:instrumentation / Q000379:methods*; D013525:Surgical Instruments; D016896:Treatment Outcome
D000779:Anesthetics, Local; D008012:Lidocaine; D008614:Meperidine