title: [Assessment of nociceptive suppression in laparoscopic postoperative status: prospective, randomized and comparative study with a control group].
abstract: In recent years endoscopic surgery has became a highly demanded procedure because it is an easy method for diagnosis and treatment in gynecological field. Post-operative pain is considered as a condition in the morbidity status. The objective of this study was to evaluate the nociceptive suppression in laparoscopic surgery. A prospective randomized trial was performed in order to evaluate this condition. A total of 45 patients were included. Three groups were randomized using two different anesthetics applied in the cult-de-sac and uterine-bladder union. Group A (n-15) received bupivacaine, group B (n = 15) ropivacaine and group C (control) saline solution was instilled. The pain was scored using the visual analog scale as same as blood pressure and heart rate in a 15 minute intervals in the recovery room. For study design there were no differences in age, weight, height and body mass index (EMI). The surgical and anesthetic times were similar among groups. However there were significant differences when pain was evaluated. For a less toxic effects and good preventive analgesia we recommend to use ropivacaine in the postoperative status.
authors.affiliation: Centro Especializado para la Atención de la Mujer, Unidad de Reproducción Asistida, División de Ginecología y Obstetricia, Hospital Angeles de las Lomas, México, D.F.
authors.forename: A
authors.initials: A
authors.lastname: Jaime
authors.forename: P
authors.initials: P
authors.lastname: Hernández-Favela
authors.forename: R
authors.initials: R
authors.lastname: Zamora
authors.forename: E
authors.initials: E
authors.lastname: Nava
authors.forename: G
authors.initials: G
authors.lastname: Barroso
authors.forename: A
authors.initials: A
authors.lastname: Kably
mesh_terms: D000293:Adolescent; D000328:Adult; D000577:Amides / Q000627:therapeutic use*; D000779:Anesthetics, Local / Q000627:therapeutic use*; D002045:Bupivacaine / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D009619:Nociceptors / Q000187:drug effects*; D010149:Postoperative Pain / Q000209:etiology* / Q000517:prevention & control*; D011182:Postoperative Care; D011446:Prospective Studies; D000077212:Ropivacaine
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine; D002045:Bupivacaine