The influence of intraperitoneal bupivacaine on pain following major laparoscopic gynaecological procedures.
We present the results of a randomised, double-blind controlled trial to determine the effect of adding bupivacaine to intraperitoneal Hartmann's solution, used to reduce the incidence of postoperative adhesions, on postoperative pain and on analgesic consumption in patients presenting for major laparoscopic gynaecological procedures. Fifty-six women were studied and postoperative analgesic requirements and visual analogue scores were used to assess the pain experienced by the treatment group when compared with the control group. There was no statistical difference in the pain scores between the two groups at any time during the study period (Student's t-test; p = 0.29-0.74) nor was there any difference in analgesic consumption (Mann-Whitney U-test; p = 0.34-0.79).
Shaw
I C
IC
Specialist Registrar in Anaesthetics, Consultant Anaesthetist and Consultant Obstetrician & Gynaecologist, Chesterfield Royal Hospital, Calow, Chesterfield, Derbyshire S44 5BL, UK.
Stevens
J
J
Krishnamurthy
S
S
D000328:Adult; D000700:Analgesics / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000627:therapeutic use*; D002045:Bupivacaine / Q000627:therapeutic use*; D004311:Double-Blind Method; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use; D010535:Laparoscopy / Q000009:adverse effects*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D011183:Postoperative Complications / Q000517:prevention & control; D000077325:Ringer's Lactate; D000267:Tissue Adhesions / Q000517:prevention & control
D000700:Analgesics; D000779:Anesthetics, Local; D007552:Isotonic Solutions; D000077325:Ringer's Lactate; D002045:Bupivacaine