Pericervical intrafallopian bupivacaine instillation to reduce postoperative pain after laparoscopic tubal sterilisation.
In a double-blind comparative study of 46 women undergoing laparoscopic tubal sterilization under general anesthesia using Falope ring bands, the group of women (study group, n=22) having 0.5% bupivacaine instilled paracervically had less pain than women given normal saline (control group, n=24) at 1 and 2 hours.  The trial group also required narcotic analgesia significantly less often (6/22 vs 19.24) than the control group.  The reduction in postoperative pain afforded by this method of administration of bupivacaine allows day case laparoscopic sterilization to be performed with greater confidence.
Luscombe
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Pounder
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Geraghty
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Bevan
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D000758:Anesthesia; D019049:Developed Countries; D003933:Diagnosis; D004194:Disease; D004311:Double-Blind Method; D004724:Endoscopy; D004739:England; D005060:Europe; D005193:Family Planning Services; D013502:General Surgery; D010535:Laparoscopy; D010146:Pain; D004364:Pharmaceutical Preparations; D010808:Physical Examination; D011182:Postoperative Care; D012106:Research; D012107:Research Design; D012816:Signs and Symptoms; D013245:Sterilization, Reproductive; D013812:Therapeutics; D006113:United Kingdom
D004364:Pharmaceutical Preparations
Anesthesia--administraction and dosage; Comparative Studies; Control Groups; Developed Countries; Diseases; Double-blind Studies; Drugs--administraction and dosage; Endoscopy; England; Europe; Examinations And Diagnoses; Family Planning; Female Sterilization; Laparoscopy; Measurement; Northern Europe; Pain--prevention and control; Physical Examinations And Diagnoses; Postoperative Procedures; Research Methodology; Signs And Symptoms; Sterilization, Sexual; Studies; Surgery; Treatment; United Kingdom